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Lea Nichole Maddox, DO
Obstetrics Physician in Clinton Township, Michigan
NPI 1396276663

Lea Nichole Maddox is a Obstetrics Physician based in Dothan, MI and is specialized in Obstetrics. Lea Nichole Maddox practices in Clinton Township, MI and has the professional credentials of DO. The NPI Number for Lea Nichole Maddox is 1396276663 and holds a License No. (Michigan).

The current practice location address for Lea Nichole Maddox is 15855 19 Mile Rd, Clinton Township, MI and can be reached out via phone at 319-533-3200.

Location: 15855 19 Mile Rd, Clinton Township, MI, 36301-3042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396276663
Provider Name
Lea Nichole Maddox
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
15855 19 Mile Rd, Clinton Township, MI, 36301-3042
Phone Number
319-533-3200
Fax Number
Provider Enumeration Date
03/27/2017
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
15855 19 Mile Rd
City
Clinton Township
State
Michigan
Zip
48038-3504
Phone Number
319-533-3200
Fax Number
person
Provider Business Mailing Address Details
Address
15855 19 Mile Rd
City
Clinton Township
State
Michigan
Zip
48038-3504
Phone Number
319-533-3200
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
2863 (Alabama)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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