Individual
MS. LORI C KUSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
15855 19 MILE RD, CLINTON TWP, MI 48038-3504
(586) 263-2370
Mailing address
25020 S MAGDALENA ST, HARRISON TWP, MI 48045-3706
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704131763
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4402506
—
MI
01
—
LK131763
BLUE CROSS
MI
Enumeration date
09/26/2006
Last updated
07/08/2007
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