Individual
SHEILA LACEY-WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
24263 LATHRUP BLVD, SOUTHFIELD, MI 48075-2838
(248) 388-9524
(248) 557-8115
Mailing address
24263 LATHRUP BLVD, SOUTHFIELD, MI 48075-2838
(248) 388-9524
(248) 557-8115
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704131667
MI
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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