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Individual

LATOYA LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5020 CADIEUX RD, DETROIT, MI 48224-2153
(313) 640-5798
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
(313) 876-1305

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704261258
MI
363LF0000X
Family Nurse Practitioner
Primary
4704261258
MI

Other

Enumeration date
07/31/2014
Last updated
11/18/2024
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