Individual
LOIS J BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
19900 HAGGERTY RD, SUITE 106, LIVONIA, MI 48152
(734) 432-7870
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002720
MI
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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