Individual
LYDIA JOY RAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
18303 E 10 MILE RD, SUITE 500, ROSEVILLE, MI 48066-4988
(586) 498-5160
(586) 498-5199
Mailing address
18303 E 10 MILE RD, SUITE 500, ROSEVILLE, MI 48066-4988
(586) 498-5160
(586) 498-5199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101020473
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501705
BCBS INDIVIDUAL PIN
MI
Enumeration date
05/07/2013
Last updated
09/13/2016
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