Individual
MRS. LUSINE B KIRAKOSYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25100 KELLY RD, ROSEVILLE, MI 48066
(586) 771-7440
(586) 771-9966
Mailing address
893 LAFAYETTE CT, ROCHESTER HILLS, MI 48307-2919
(910) 546-1771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301100589
MI
2084N0400X
Neurology Physician
Primary
4301100589
MI
Other
Enumeration date
07/12/2012
Last updated
05/21/2018
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