MS. Lakisha Michelle Moore

NPI #1134578768 in Lathrup Village, Michigan

Provider Information

NPI Number: 1134578768
Entity Type: Individual
Name: MS. Lakisha Michelle Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jun 4, 2016
Last Updated: Jun 4, 2016

Practice Location

Address: 18795 LACROSSE AVE
City: Lathrup Village
State: Michigan
ZIP Code: 48076-2527
Phone: (313) 850-9414

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