Individual
DR. LILJANA LICOVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
19723 ALLEN RD, BROWNSTOWN TWP, MI 48183-1021
(734) 479-8383
(734) 479-8382
Mailing address
19723 ALLEN ROAD, BROWNSTOWN, MI 48183
(734) 479-8383
(734) 479-8382
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
5901001880
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3515935
—
MI
Enumeration date
07/06/2005
Last updated
12/16/2013
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