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Individual

CRISTINE LULGJURAJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
BEAUMONT HOSPITAL-GROSSE POINTE, 468 CADIEUX ROAD, GROSSE POINTE, MI 48230-1507
(947) 518-5128
(313) 473-1658
Mailing address
17474 IRIS CIR, CLINTON TOWNSHIP, MI 48036-2059

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003503
MI
363AM0700X
Medical Physician Assistant
5601003503
MI

Other

Enumeration date
09/28/2007
Last updated
09/07/2023
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