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Individual

MISS LORI ANN BERNARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
12907 WOODGROVE DR, SOUTH LYON, MI 48178-8861
(586) 277-5667
Mailing address
12907 WOODGROVE DR, SOUTH LYON, MI 48178-8861
(586) 277-5667

Taxonomy

Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary

Other

Enumeration date
01/27/2021
Last updated
01/27/2021
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