Individual
MAKAYLA LAHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2766 W 11 MILE RD, BERKLEY, MI 48072-3033
(248) 542-2424
Mailing address
2766 W 11 MILE RD, BERKLEY, MI 48072-3033
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703118165
MI
Other
Enumeration date
09/28/2019
Last updated
09/28/2019
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