Individual
MS. LAKEMA M KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-4143
(313) 916-7444
Mailing address
5794 LODEWYCK ST, DETROIT, MI 48224-1310
(313) 647-9678
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
2701-0103-1155-664
MI
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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