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1649227802
ELIZABETH LANE MCCULLOUGH
LIVONIA, MI
NPI
1649227802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MI 4101071482)
Enumeration Date
2006-05-30
Last Update Date
2007-07-08
Business Address
ELIZABETH LANE MCCULLOUGH MD
16836 NEWBURGH RD UPC LIVONIA
LIVONIA, MI 48154
Phone number: 888-362-7792
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Mailing Address
ELIZABETH LANE MCCULLOUGH MD
3800 WOODWARD AVE SUITE 702
DETROIT, MI 48201-2061
Phone number:
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