Individual
LOIS FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7626 W PARKWAY ST, REDFORD, MI 48239-1070
(248) 461-7468
Mailing address
7626 W PARKWAY ST, REDFORD, MI 48239-1070
(248) 461-7468
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703115040
MI
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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