Individual
LOVELYN C OGBENNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26677 W 12 MILE RD STE 166, SOUTHFIELD, MI 48034-1514
(313) 306-2023
Mailing address
7444 CAMELOT DR, WEST BLOOMFIELD, MI 48322-3133
(313) 478-8902
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704232390
MI
Other
Enumeration date
09/14/2020
Last updated
09/06/2022
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