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1972834422
LYDIA J COMMISSARIS
DETROIT, MI
NPI
1972834422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704177563)
Enumeration Date
2010-01-22
Last Update Date
2018-03-17
Business Address
Miss LYDIA J COMMISSARIS FNP-BC
45 W. GRAND RIVER AVE
DETROIT, MI 48226
Phone number: 313-585-4734
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Mailing Address
Miss LYDIA J COMMISSARIS FNP-BC
1202 GREENLEAF DR
ROYAL OAK, MI 48067-1170
Phone number: 248-548-5772
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