Individual
MRS. LORI CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3270 W BIG BEAVER RD STE 400, TROY, MI 48084-2901
(248) 816-2558
(248) 816-2801
Mailing address
3270 W BIG BEAVER RD STE 400, TROY, MI 48084-2901
(248) 816-2558
(248) 816-2801
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
4704206655
MI
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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