Lydia Gillim
NPI #1952986614 in Shelby Twp, Michigan
Provider Information
- NPI Number
- 1952986614
- Entity Type
- Individual
- Name
- Lydia Gillim
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist
- Enumeration Date
- Mar 15, 2021
- Last Updated
- Mar 15, 2021
Practice Location
- Address
- 49970 VAN DYKE AVE
- City
- Shelby Twp
- State
- Michigan
- ZIP Code
- 48317-1347
- Phone
- (586) 991-6596
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist |
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