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Individual

DR. LORNA LACEN THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
30445 NORTHWESTERN HWY, STE 142, FARMINGTON HILLS, MI 48334
(313) 874-2500
(248) 702-0902
Mailing address
30445 NORTHWESTERN HWY, STE 142, FARMINGTON HILLS, MI 48334
(313) 874-2500
(248) 702-0902

Taxonomy

Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
4301404289
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1225045537
BLUE CROSS BLUE SHIELD
MI
05
3173310 10
MI
Enumeration date
08/01/2006
Last updated
08/17/2015
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