Individual
LYDIA DANIELLE TURBEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4800
Mailing address
7589 SHERLOCK DR, ONSTED, MI 49265-9416
(517) 200-8252
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704308567
MI
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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