Organization
LORI RADNER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI LYNN RADNER PSYD, LLP (OWNER)
(248) 788-6400
Entity
Organization
Contact information
Practice address
36510 W 12 MILE RD, FARMINGTON HILLS, MI 48331-3169
(248) 788-6400
(248) 788-3840
Mailing address
36510 W 12 MILE RD, FARMINGTON HILLS, MI 48331-3169
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012615
MI
Other
Enumeration date
04/30/2008
Last updated
07/12/2011
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