Individual
ALEXSANDRA AQUILA LACHANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
2300 HAGGERTY RD STE 2000, WEST BLOOMFIELD, MI 48323-2189
(248) 624-9900
(248) 896-5450
Mailing address
24691 SIMMONS DR, NOVI, MI 48374-3070
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704297807
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023788445
—
MI
01
—
4704297807
MI LICENSE
MI
Enumeration date
09/16/2021
Last updated
05/26/2023
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