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LAMTHONG PHOMMANIRAJ

Licensed Practical Nurse

NPI: 1922716588Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

4703124400(MI)

Contact & Hours

Address
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334

Quick Facts

NPI
1922716588
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
1
Locations
1

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