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Individual

LASEAN HILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
25243 DONALD, REDFORD, MI 48239-3331
(313) 740-7400
Mailing address
24611 CALVIN ST, DEARBORN, MI 48124-3121
(313) 723-1019

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703107421
MI

Other

Enumeration date
07/23/2018
Last updated
07/23/2018
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