Individual
MRS. LYDIA KILLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1190 E 12 MILE RD # 2, MADISON HEIGHTS, MI 48071-2648
(248) 629-6242
Mailing address
2788 HARTLINE DR, ROCHESTER HILLS, MI 48309-3840
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704353384
MI
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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