Individual
MRS. SUSAN R LOUVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
244 MIAMI PATH, LAKE ORION, MI 48362-1333
(248) 459-8862
Mailing address
244 MIAMI PATH, LAKE ORION, MI 48362-1333
(248) 459-8862
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704191034
MI
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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