Individual
DR. LALAINE ANNE ORDIZ CORDOVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-3300
Mailing address
2529 HARRIS ST, FERNDALE, MI 48220-1502
(480) 747-8618
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
011587
AZ
207P00000X
Emergency Medicine Physician
Primary
5151015884
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2022
Last updated
04/23/2025
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