Individual provider · NPI-1

Dr. Lourdes Villalobos Andaya, MD

Psychiatry & Neurology, Neurology · Detroit, MI

NPI number1831274786
StatusActive
Last updated in NPPESAug 23, 2010

Details

NPI
1831274786
Entity type
Individual (NPI-1)
Name
Dr. Lourdes Villalobos Andaya
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 26, 2006
Last updated
Aug 23, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology32565MIYes

Practice location

4160 John R St
Suite 819
Detroit, MI 48201-2020

Phone 313-832-2880 · Fax 313-832-7845

Mailing address

4160 John R St
Suite 819
Detroit, MI 48201-2020

Phone 313-832-2880 · Fax 313-832-7845

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