Individual
MRS. LYDIA YENOBY NGANONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
45937 WINDRIDGE LN, CANTON, MI 48188-6224
(504) 919-4486
Mailing address
PO BOX 746723, ATLANTA, GA 30374-6723
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704372556
MI
Other
Enumeration date
04/24/2025
Last updated
07/31/2025
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