Individual
LUMA BEYDOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
27155 CHERRY HILL ROAD, DEARBORN HEIGHTS, MI 48127
(313) 749-1178
(313) 733-2029
Mailing address
30 W MONROE ST FL 12, CHICAGO, IL 60603-2495
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704295099
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704295099
RN LICENSE
MI
Enumeration date
07/11/2017
Last updated
11/03/2021
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