Individual
MS. LORI LYNN HUELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1500 E MEDICAL CENTER DR, 7C, ANN ARBOR, MI 48109-5000
(734) 936-4646
Mailing address
1102 LARIAT LOOP, 104, ANN ARBOR, MI 48108-2493
(734) 260-4009
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2332171
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704264147
REGISTERED NURSE LICENSE
MI
Enumeration date
11/11/2010
Last updated
11/11/2010
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