Licovski, Liljana

Licovski, Liljana is an individual health care provider with primary practice located at 19723 Allen Rd , Brownstown Twp MI 48183-1021. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as her primary health care specialty. Licovski, Liljana can be contacted via phone (734) 479-8383.

Contact Information

Primary practice address
19723 Allen Rd Brownstown Twp MI 48183-1021
Phone: (734) 479-8383
Fax: (734) 479-8382
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 5901001880 Michigan

Profile Details

NPI number 1568469500
LBN Legal business name Licovski, Liljana
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Dec 16th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568469500 NPPES
Michigan MEDICAID 3515935

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