Individual
LORICEL ESCOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
23900 ORCHARD LAKE RD, SUITE 100, FARMINGTON HILLS, MI 48336-2501
(248) 476-6209
(248) 476-6237
Mailing address
23900 ORCHARD LAKE RD, SUITE 100, FARMINGTON HILLS, MI 48336-2501
(248) 476-6209
(248) 476-6237
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LE067373
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1106313771
BLUE CROSS BLUE SHIELD
MI
05
—
4409220
—
MI
Enumeration date
02/21/2006
Last updated
11/01/2012
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