Individual
MRS. LORNA MARGUERITE GALLOGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2333 S CENTER RD, BURTON, MI 48519-1147
(810) 600-1400
Mailing address
21734 WORCESTER DR, NOVI, MI 48374-3949
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704165746
MI
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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