Individual
LORI CHALUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Mailing address
24293 24 MILE RD, MACOMB, MI 48042-3310
(586) 246-6314
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704233278
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704233278
MI
Other
Enumeration date
05/02/2020
Last updated
09/14/2020
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