Individual
MS. LYNN ROQUEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.P.H
Contact information
Practice address
22250 PROVIDENCE DR, SOUTHFIELD, MI 48075-4825
(248) 849-3939
(248) 849-8601
Mailing address
22133 PHOENIX CT, FARMINGTON HILLS, MI 48336-5113
(248) 849-3939
(248) 849-8601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302029278
MI
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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