Individual
MRS. LORNA BROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
28455 HAGGERTY RD, STE 200, NOVI, MI 48377-2982
(248) 893-3200
(248) 893-2950
Mailing address
6676 SOLUTIONS CTR, CHICAGO, IL 60677-6006
(248) 893-3220
(248) 893-2951
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704189318
MI
Other
Enumeration date
03/22/2014
Last updated
12/29/2015
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