Individual
LYNDA C MISRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3535 W 13 MILE RD, STE. LL, ROYAL OAK, MI 48073-6710
(248) 551-3000
Mailing address
3601 W 13 MILE RD, 400-FSC/PCS, ROYAL OAK, MI 48073-6712
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101011848
MI
207R00000X
Internal Medicine Physician
Primary
5101011848
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110F376980
BCBSM
MI
05
—
3290586
—
MI
Enumeration date
07/13/2006
Last updated
08/26/2025
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