# LEGARIUS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Legarius, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366976375
- **Authorized official:** MRS. DANYELLE SYVETTE ARMOUR NP (NURSE PRACTITIONER)
- **Authorized official phone:** (313) 522-3939

## Contact information

- **Practice address:** 23077 GREENFIELD RD, STE156, SOUTHFIELD, MI 48075-3709
- **Practice address phone:** (313) 522-3939
- **Mailing address:** 6424 SUMMER CT, WEST BLOOMFIELD, MI 48322-2234
- **Mailing address phone:** (313) 522-3939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301055371 | MI | — |
| 363LP2300X | Primary Care Nurse Practitioner | 4704238009 | MI | Yes |

## Other

- **Enumeration date:** 04/17/2017
- **Last updated:** 04/24/2017