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Individual

LATRICIA DENISE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN FNP-BC

Contact information

Practice address
41800 W 11 MILE RD, NOVI, MI 48375-1872
(833) 578-2763
Mailing address
21800 W 11 MILE RD, STE 109, NOVI, MI 48375

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704263469
MI

Other

Enumeration date
05/18/2023
Last updated
05/18/2023
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