Individual
MRS. MICHELLE E LEXMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4602 DEPT, CAROL STREAM, IL 60122-4602
(906) 225-3630
(906) 225-4537
Mailing address
PO BOX 220, MARQUETTE, MI 49855-0220
(888) 674-0854
(906) 225-3370
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003539
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601003539
MICHIGAN LICENSE NUMBER
MI
Enumeration date
01/03/2006
Last updated
09/16/2009
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