Individual
DEANNA MICHELLE LEMORIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
900 COOPER AVE, SAGINAW, MI 48602-5182
(989) 583-6402
Mailing address
900 COOPER AVE, SAGINAW, MI 48602-5182
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704230713
MI
363L00000X
Nurse Practitioner
77380
KS
363LP2300X
Primary Care Nurse Practitioner
4704230713
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002426
MEDICARE PTAN
KS
05
—
201143410A
—
KS
Enumeration date
02/09/2010
Last updated
01/11/2024
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