Individual
MRS. LYDIA DH MCBURROWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RN CPNP
Contact information
Practice address
510 EMERICK ST, YPSILANTI, MI 48198-5702
(734) 714-1409
(734) 714-1440
Mailing address
7896 LAKE CREST DR, YPSILANTI, MI 48197-6750
(734) 482-7292
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704207039
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4848338
—
MI
Enumeration date
11/06/2006
Last updated
06/12/2008
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