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Individual

LANA KAWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
37450 DEQUINDRE RD, STERLING HEIGHTS, MI 48310-3503
(586) 979-5100
(586) 795-5050
Mailing address
4965 ADAMS PIONTE CT, TROY, MI 48098-4111
(586) 979-5100
(586) 795-5050

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301081236
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01004037
HEALTH PLUS
MI
01
1021087
MHP HAN
MI
01
110B510530
BCBSM
MI
01
17889
MCARE
MI
05
4928742
MI
Enumeration date
10/25/2006
Last updated
01/24/2017
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