MISS Dina Louise Ivy, LPN
NPI #1235099078 in Highland Park, Michigan
Provider Information
- NPI Number
- 1235099078
- Entity Type
- Individual
- Name
- MISS Dina Louise Ivy, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Nov 14, 2025
- Last Updated
- Nov 14, 2025
Practice Location
- Address
- 245 PITKIN ST
- City
- Highland Park
- State
- Michigan
- ZIP Code
- 48203-3737
- Phone
- (313) 865-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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