Doctor Name: | MRS. LOUI LEA BRICKEY |
NPI Number: | 1073866216 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 4704084755 |
Business Practice Address: | 4642 Genesys Pkwy Grand Blanc, MI - 484398067 |
Business Phone Number: | 8106065898 |
Business Fax Number: | 8106066788 |
Mailing Address: | 4642 Genesys Pkwy, GRAND BLANC |
State: | MI |
Postal Code: | 484398067 |
Phone Number: | 8106065898 |
Fax Number: | 8106066788 |
NPI Enumeration Date: | 10/25/2012 |
NPI Last Update Date: | 10/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WL0100X |
License Number: | 4704084755 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Lactation Consultant |
Taxonomy Definition: |