Individual
LENNA IRESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20769 E 13 MILE RD, ROSEVILLE, MI 48066-4503
(586) 872-2288
Mailing address
24412 ALPINE ST, CLINTON TOWNSHIP, MI 48036-2804
(586) 873-6362
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704298716
MI
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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