Individual provider · NPI-1

Lucius Barnett

Registered Nurse, Psych/Mental Health, Adult · Livonia, MI

NPI number1174291694
StatusActive
Last updated in NPPESAug 31, 2021

Details

NPI
1174291694
Entity type
Individual (NPI-1)
Name
Lucius Barnett
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 31, 2021
Certification date
Aug 16, 2021
Last updated
Aug 31, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0809X Registered Nurse, Psych/Mental Health, Adult4704288435MIYes

Practice location

34413 Ann Arbor Trail
Livonia, MI 48150

Phone 313-205-4608

Mailing address

34413 Ann Arbor Trail
Livonia, MI 48150

Phone 313-205-4608

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