Individual
MRS. NEENA LEE KOVALCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 EAST MICHIGAN AVENUE, LANSING, MI 48912
(517) 364-5137
(517) 364-5997
Mailing address
6531 W. GRAND LEDGE HWY., SUNFIELD, MI 48890
(517) 214-4980
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704239926
MI
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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