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1699793984
LYDIA ORLENE RISING
BLOOMFIELD HILLS, MI
NPI
1699793984
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601003506)
Enumeration Date
2006-07-17
Last Update Date
2009-02-04
Business Address
Mrs. LYDIA ORLENE RISING PA-C
43902 WOODWARD AVE SUITE 240
BLOOMFIELD HILLS, MI 48302-5011
Phone number: 248-454-7650
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Mailing Address
Mrs. LYDIA ORLENE RISING PA-C
1251 LAKE CRESCENT DR
BLOOMFIELD HILLS, MI 48302-2813
Phone number: 248-855-8077
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