Individual
LORI BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 S RAISINVILLE RD, MONROE, MI 48161-9754
(734) 243-7340
Mailing address
1001 S RAISINVILLE RD, MONROE, MI 48161-9754
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704264759
MI
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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