Individual
LYNN MARIE LACAVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 STODDARD RD, RICHMOND, MI 48062-2505
(810) 392-3583
Mailing address
13120 GILBERT RD, RILEY, MI 48041-3401
(810) 392-3583
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
4704168991
MI
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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