Individual
MRS. LOIS ANN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1410 S TELEGRAPH RD, 461 W. HURON, BLOOMFIELD HILLS, MI 48302-0046
(248) 456-8150
Mailing address
464 TANVIEW DR, OXFORD, MI 48371-4760
(248) 628-2009
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704160952
MI
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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