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Individual

LORI R CHESTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ACNP-BC

Contact information

Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 982-5440
(313) 982-5445
Mailing address
130 TOWN CENTER DR, STE 203, TROY, MI 48084-1744
(248) 585-8216
(248) 585-8266

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704217406
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12174138
CAQH
MI
Enumeration date
01/17/2010
Last updated
11/12/2018
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