Individual
NIYA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17638 LINCOLN AVE, EASTPOINTE, MI 48021-3061
(313) 439-2290
Mailing address
17638 LINCOLN AVE, EASTPOINTE, MI 48021-3061
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703128364
MI
Other
Enumeration date
07/07/2026
Last updated
07/07/2026
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