Individual
LILIANA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19117 ALLEN RD STE A, BROWNSTOWN TWP, MI 48183-1066
(734) 676-4040
(734) 676-9897
Mailing address
20952 E 12 MILE RD STE 200, SAINT CLAIR SHORES, MI 48081-3203
(586) 771-4820
(586) 771-6620
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704311492
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704311492
MI- STATE LICENSE
MI
Enumeration date
12/09/2021
Last updated
05/24/2023
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