Individual
PATRICIA MUCCI LORUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4100 JOHN R ST, HWCRC 4TH FL, DETROIT, MI 48201-2013
(800) 527-6266
(313) 576-8767
Mailing address
1420 STEPHENSON HWY, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(248) 581-5977
(248) 581-5640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101008202
MI
207RX0202X
Medical Oncology Physician
Primary
5101008202
MI
Other
Enumeration date
06/01/2006
Last updated
11/01/2013
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