Lola Baskerville

NPI #1114382728 in Berkley, Michigan

Provider Information

NPI Number: 1114382728
Entity Type: Individual
Name: Lola Baskerville
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: Dec 24, 2015
Last Updated: Dec 24, 2015

Practice Location

Address: 2766 W 11 MILE RD
Address 2: SUITE 2
City: Berkley
State: Michigan
ZIP Code: 48072-3033
Phone: (248) 542-2424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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