Individual
LUNLIYA THAMPRATANKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-5788
Mailing address
4500 CASS AVE, SUITE# 1022, DETROIT, MI 48201-1288
(248) 228-0435
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
4301090012
MI
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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