Individual
LONA MODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4260 PLYMOUTH ROAD, ANN ARBOR, MI 48109-2700
(734) 764-6831
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301070525
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301070525
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4115188
—
MI
Enumeration date
10/19/2006
Last updated
03/22/2012
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