Individual
LESA RENEE COMERZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
882 PLUM PARK DR, MONROE, MI 48161-9675
(734) 755-8890
Mailing address
882 PLUM PARK DR, MONROE, MI 48161-9675
(734) 755-8890
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703117514
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4703117514
STATE OF MICHIGAN
MI
Enumeration date
06/28/2018
Last updated
06/28/2018
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