Individual
LAKITA BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PHNP-BC
Contact information
Practice address
501 N MAPLE RD, ANN ARBOR, MI 48103-2827
(800) 395-3223
(248) 620-6405
Mailing address
6549 TOWN CENTER DR STE A, CLARKSTON, MI 48346-4824
(800) 395-3223
(248) 620-6405
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
4704294284
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704294284
MI
Other
Enumeration date
09/07/2022
Last updated
10/11/2023
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