Individual
LORRAINE MEXICOTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17425 FORT ST, RIVERVIEW, MI 48193-6630
(734) 285-1669
Mailing address
17425 FORT ST, RIVERVIEW, MI 48193-6630
(734) 285-1669
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3501003246
MI
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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