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Lavetta Annette Pickens, Nurse Practitioner

Nurse Practitioner, Primary Care in Detroit, MI. Individual provider (NPI-1).

NPI number1295073773
StatusActive
Last updated in NPPESJan 18, 2013

Details

NPI
1295073773
Entity type
Individual (NPI-1)
Name
Ms. Lavetta Annette Pickens
Credential
Nurse Practitioner
Sex
Female
Sole proprietor
No
Enumeration date
Jan 18, 2013
Last updated
Jan 18, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP2300X Nurse Practitioner, Primary Care4704221867MIYes

Practice location

611 Martin Luther King Jr Blvd
Detroit, MI 48201-2273

Phone 313-832-6300

Mailing address

10535 Lanark St
Detroit, MI 48224-1232

Phone 313-642-0478

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