Individual
GINA LOPICCOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
468 CADIEUX RD, GROSSE POINTE, MI 48230-1507
(313) 473-1000
Mailing address
13648 VILLA POINTE DR, WARREN, MI 48088-6669
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704314486
MI
Other
Enumeration date
12/22/2019
Last updated
12/22/2019
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