Individual
LYNDA RAYOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
27031 W WARREN ST, DEARBORN HEIGHTS, MI 48127-1901
(313) 274-3320
(313) 730-9222
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1862
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101013015
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0858206445
BLUE CROSS
MI
01
—
139934
CARE CHOICES
MI
05
—
4356584
—
MI
01
—
7414012
AETNA
MI
01
—
C6729
MCARE
MI
01
—
P105062
BLUE CROSS
MI
Enumeration date
06/08/2006
Last updated
11/17/2020
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