Individual
ALISSA LUMETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5557 CASS AVE, DETROIT, MI 48202-3615
(586) 329-9505
Mailing address
8218 CLAY CT, STERLING HEIGHTS, MI 48313-4602
(586) 329-9505
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704341966
MI
363LF0000X
Family Nurse Practitioner
Primary
4704341966
MI
Other
Enumeration date
06/17/2021
Last updated
01/23/2023
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