Individual
LAWRANCE MURRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 ACKLEY AVE, WESTLAND, MI 48186-4497
(313) 646-8354
Mailing address
1720 ACKLEY AVE, WESTLAND, MI 48186-4497
(313) 646-8354
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703114014
MI
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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