| NPI Details | |
|---|---|
| NPI | 1053347500 |
| Gender | Female |
| Enumeration Date | 06/25/2006 |
| Last Updated | 01/30/2008 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 1325 E SHERMAN BLVD MUSKEGON MI, 49444-1813, US |
|
| Phone | (231) 737-8446 |
| Fax | (231) 737-0510 |
| Business Location | |
|---|---|
| 17215 ROLLING DUNES DR WEST OLIVE MI, 49460-9512, US |
|
| Phone | (616) 502-9064 |
| Fax | (616) 844-5099 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 103T00000X |
| License State | Michigan |
| License Number | 6301009500 |
| Remove 1053347500 NPI Number | |
According to our database, Lori Diana Milan PH.D. NPI is 1053347500, taxonomy code is 103T00000X and license number is 6301009500, license state is located at Michigan. Lori Diana Milan PH.D. physically located at 1325 E Sherman Blvd, Muskegon MI, 49444-1813. NPI Number Lori Diana Milan PH.D. has the Individual type.
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1053347500 NPI number is provided on an as is basis without warranty of any kind. 1053347500 is maintained by the National Plan & Provider Enumeration System. The contents of Lori Diana Milan PH.D. are for informational purposes only.
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