Individual
HEATHER LACARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1385 E 12 MILE RD, SUITE, MADISON HEIGHTS, MI 48071-2602
(248) 284-1760
(248) 284-1780
Mailing address
1385 E 12 MILE RD, SUITE, MADISON HEIGHTS, MI 48071-2602
(248) 284-1760
(248) 284-1780
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704278874
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912312133
—
MI
Enumeration date
06/26/2014
Last updated
01/30/2015
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