Individual
MS. LACHELLE MARIE ORR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3958 HUNTERS GROVE BLVD, CANTON, MI 48188
(734) 516-0810
Mailing address
3958 HUNTERS GROVE BLVD, CANTON, MI 48188-2340
(734) 516-0810
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704284067
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704284067
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704284067
RN LICENSE
MI
Enumeration date
09/16/2015
Last updated
06/28/2018
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