Individual
ALEXIS AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17347 LINCOLN DR, SOUTHFIELD, MI 48076-4601
(734) 885-9272
Mailing address
17347 LINCOLN DR, SOUTHFIELD, MI 48076-4601
(734) 885-9272
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703125815
MI
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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