Individual
LANET R LIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6309 MACK AVE, DETROIT, MI 48207-2302
(313) 778-1045
Mailing address
20207 MAUER ST, SAINT CLAIR SHORES, MI 48080-1741
(313) 778-1045
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2292050501
MI
163W00000X
Registered Nurse
47404284296
MI
Other
Enumeration date
03/28/2021
Last updated
12/05/2024
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