Individual
BREANNA LYNNE LINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
29550 FIVE MILE RD, LIVONIA, MI 48154-3710
(800) 395-3223
(248) 620-6405
Mailing address
6549 TOWN CENTER DR, CLARKSTON, MI 48346-4824
(800) 395-3223
(248) 620-6405
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/29/2015
Last updated
10/14/2024
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