Individual
LYNNETTE ANNE LAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22315 E 10 MILE RD, SAINT CLAIR SHORES, MI 48080-1377
(586) 943-9462
Mailing address
22315 E 10 MILE RD, SAINT CLAIR SHORES, MI 48080-1377
(586) 943-9462
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704291474
MI
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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