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Tyler Lusczki

Technician/Technologist in Bingham Farms, MI. Individual provider (NPI-1).

NPI number1083177075
StatusActive
Last updated in NPPESApr 9, 2019

Details

NPI
1083177075
Entity type
Individual (NPI-1)
Name
Tyler Lusczki
Sex
Male
Sole proprietor
No
Enumeration date
Apr 8, 2019
Last updated
Apr 9, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156F00000X Technician/Technologist––Yes

Practice location

32100 Telegraph Rd Ste 205
Bingham Farms, MI 48025-2454

Phone 248-712-4266

Mailing address

32100 Telegraph Rd Ste 205
Bingham Farms, MI 48025-2454

Phone 248-712-4266

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