Individual
MRS. DIANA LUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
27175 HAGGERTY RD, NOVI, MI 48377
(248) 416-1584
(248) 416-1525
Mailing address
27175 HAGGERTY RD, NOVI, MI 48377-3626
(249) 416-1584
(248) 416-1525
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1214491
FL
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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