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Stephanie A. Lusis, NP
Gerontology Nurse Practitioner in Royal Oak, Michigan
NPI 1881609584

Stephanie A. Lusis is a Gerontology Nurse Practitioner based in Royal Oak, MI and is specialized in Gerontology. Stephanie A. Lusis practices in Royal Oak, MI and has the professional credentials of NP. The NPI Number for Stephanie A. Lusis is 1881609584 and holds a License No. 4704097964 (Michigan).

The current practice location address for Stephanie A. Lusis is 3601 W 13 Mile Rd, Royal Oak, MI and can be reached out via phone at 248-423-2454 and via fax at 248-423-2576.

Location: 3601 W 13 Mile Rd, Royal Oak, MI, 48073-6712
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Provider Profile Details
NPI Number
1881609584
Provider Name
Stephanie A. Lusis
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3601 W 13 Mile Rd, Royal Oak, MI, 48073-6712
Phone Number
248-423-2454
Fax Number
248-423-2576
Provider Enumeration Date
07/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4578715 05 MI
institution
Provider Business Practice Location Address Details
Address
3601 W 13 Mile Rd
City
State
Zip
48073-6712
Phone Number
248-423-2454
Fax Number
248-423-2576
person
Provider Business Mailing Address Details
Address
3601 W 13 Mile Rd
City
State
Zip
48073-6712
Phone Number
248-423-2454
Fax Number
248-423-2576
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
4704097964 (Michigan)
Definition
Definition to come...
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