Individual
LAVETTA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 EAGLE POND DR APT 212, COMMERCE TOWNSHIP, MI 48390-3061
(313) 330-5215
Mailing address
300 EAGLE POND DR APT 212, COMMERCE TOWNSHIP, MI 48390-3061
(313) 330-5215
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703118202
MI
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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