Green, Lyric L
Green, Lyric L is an individual health care provider with primary practice located at 46591 Romeo Plank Rd Suite 205, Macomb MI 48044-5742. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Green, Lyric L can be contacted via phone (586) 226-6250.Contact Information
Primary practice address
46591 Romeo Plank Rd Suite 205
Macomb MI 48044-5742
Phone: (586) 226-6250
Fax: (586) 226-6255
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301056540 | Michigan |
Profile Details
NPI number | 1205825957 |
---|---|
LBN Legal business name | Green, Lyric L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 17th, 2005 |
Last updated | Mar 1st, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205825957 | NPPES |
Michigan | MEDICAID | 3519710 |
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