Individual
JOYCE LYNN DELAURENTIIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1021 EMMONS BLVD, LINCOLN PARK, MI 48146-4240
(313) 506-4877
Mailing address
1021 EMMONS BLVD, LINCOLN PARK, MI 48146-4240
(313) 506-4877
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704144449
MI
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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