Individual
LANCE RAYMOND WOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-3605
Mailing address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-3605
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704273806
MI
Other
Enumeration date
06/29/2017
Last updated
09/02/2022
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