Individual
LASHARA RICHELLE LUVENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9125 FORRER ST, DETROIT, MI 48228-2113
(313) 878-6481
Mailing address
15471 SNOWDEN ST, DETROIT, MI 48227-3359
(313) 878-6481
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703129173APPP23
MI
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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