Individual
MAYA LUBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6700 W OUTER DR, DETROIT, MI 48235-2724
(305) 564-9655
Mailing address
17305 MAPLE HILL DR, NORTHVILLE, MI 48168-3214
(734) 968-1326
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F08241003
MI
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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