Individual
LOURDES ANGELES ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
261 MACK AVE, REHABILITATION INSTITUTE OF MICHIGAN, DETROIT, MI 48201-2417
(313) 745-4600
(313) 745-1063
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1138
(313) 745-4600
(313) 745-1063
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301080618
MI
Other
Enumeration date
06/01/2006
Last updated
10/14/2016
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