Individual
LYNETTE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
32500 CONCORD DR STE 343, MADISON HEIGHTS, MI 48071-1119
(248) 588-0512
(586) 620-6040
Mailing address
5993 TOWNSEND ST, DETROIT, MI 48213-2472
(313) 285-4823
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703105630
MI
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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