Individual
MRS. LILIA MARINA MLECZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
32270 TELEGRAPH RD, BINGHAM FARMS, MI 48025-2456
(248) 792-9496
(248) 792-9628
Mailing address
1333 IMLAY CITY RD, LAPEER, MI 48446-3113
(248) 952-4343
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704246238
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538535562
LILIA M. MLECZKO
MI
Enumeration date
08/13/2015
Last updated
03/27/2018
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