Individual
LYNNETTE WAARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19901 DIX TOLEDO HWY, BROWNSTOWN TWP, MI 48183-1039
(888) 854-1397
Mailing address
16010 ROSE DR, ALLEN PARK, MI 48101-1138
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704299497
MI
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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