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Lovelyn C Ogbennah
Family Nurse Practitioner in Southfield, Michigan
NPI 1194330258

Lovelyn C Ogbennah is a Family Nurse Practitioner based in West Bloomfield, MI and is specialized in Family. Lovelyn C Ogbennah practices in Southfield, MI. The NPI Number for Lovelyn C Ogbennah is 1194330258 and holds a License No. 4704232390 (Michigan).

The current practice location address for Lovelyn C Ogbennah is 26677 W 12 Mile Rd Ste 166, Southfield, MI and can be reached out via phone at 313-306-2023.

Location: 26677 W 12 Mile Rd Ste 166, Southfield, MI, 48322-3133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194330258
Provider Name
Lovelyn C Ogbennah
Credential
Provider Entity Type
Individual
Gender
Female
Address
26677 W 12 Mile Rd Ste 166, Southfield, MI, 48322-3133
Phone Number
313-306-2023
Fax Number
Provider Enumeration Date
09/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
26677 W 12 Mile Rd Ste 166
City
Southfield
State
Michigan
Zip
48034-1514
Phone Number
313-306-2023
Fax Number
person
Provider Business Mailing Address Details
Address
26677 W 12 Mile Rd Ste 166
City
Southfield
State
Michigan
Zip
48034-1514
Phone Number
313-306-2023
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704232390 (Michigan)
Definition
Definition to come...
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