| Doctor Name: | MRS. DEBORAH LYNN DIMOND |
| NPI Number: | 1073745923 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP-BC |
| License Number: | 4704226244 |
| Business Practice Address: | 9244 Lapeer Rd Davison, MI - 484231757 |
| Business Phone Number: | 8106532111 |
| Business Fax Number: | 8106538506 |
| Mailing Address: | 9244 Lapeer Rd, DAVISON |
| State: | MI |
| Postal Code: | 484231757 |
| Phone Number: | 8106532111 |
| Fax Number: | 8106538506 |
| NPI Enumeration Date: | 08/11/2009 |
| NPI Last Update Date: | 08/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 4704226244 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |