Individual
DR. MAISEE KATELYN LOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
22250 PROVIDENCE DR STE 500, SOUTHFIELD, MI 48075-6213
(248) 849-3341
Mailing address
22250 PROVIDENCE DR STE 500, SOUTHFIELD, MI 48075-6213
(248) 849-3441
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101021939
MI
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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