Individual
LYNDA LAUER PENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, AGPCNP-BC
Contact information
Practice address
5758 COOLEY LAKE RD, WATERFORD, MI 48327-3073
(855) 466-3631
Mailing address
5758 COOLEY LAKE RD, WATERFORD, MI 48327-3073
(855) 466-3631
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704269925
MI
363L00000X
Nurse Practitioner
Primary
4704269925
MI
Other
Enumeration date
07/04/2017
Last updated
10/04/2022
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