Individual
LANE BERNICE JUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
15506 S TELEGRAPH RD, MONROE, MI 48161-5520
(734) 682-5243
Mailing address
4057 CHERYL DR, COMMERCE TWP, MI 48382-1759
(248) 660-4981
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704316371
MI
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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