Individual
LYNNE KATHERINE VERSACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4473 PEPPERMILL LN, LAKE ORION, MI 48359-2071
(248) 931-0351
Mailing address
3481 LANG RD, DAVISON, MI 48423-2428
(248) 980-1665
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704131522
MI
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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