Semetria Lane

NPI #1629469622 in Harper Woods, Michigan

Provider Information

NPI Number: 1629469622
Entity Type: Organization
Organization Name: Semetria Lane
Primary Specialty: Technician, Other
Enumeration Date: Feb 11, 2015
Last Updated: Feb 11, 2015

Practice Location

Address: 19104 ELKHART ST
City: Harper Woods
State: Michigan
ZIP Code: 48225-2108
Phone: (248) 914-1710

Authorized Official

Name: SEMETRIA LANE
Title: ABA TECH
Phone: (248) 914-1710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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