Individual
LILLIAN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3830 PACKARD ST, SUITE 180, ANN ARBOR, MI 48108-2051
(866) 645-5578
(888) 528-0919
Mailing address
3830 PACKARD ST, SUITE 180, ANN ARBOR, MI 48108-2051
(866) 645-5578
(888) 528-0919
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704187950
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4730660
—
MI
01
—
CJ6987
TRAVELERS
MI
01
—
P00236438
TRAVELERS
MI
Enumeration date
10/17/2006
Last updated
09/20/2010
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