Yvonne Young Lamphier

Individual provider Active NPI Licensed Practical Nurse · Birch Run, MI

NPI 1770040503 · NPPES record last updated Feb 28, 2019

Key facts

NPI
1770040503
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
4703106603 (MI)
Practice address
9941 S Block Rd
Birch Run, MI 48415-9279
Phone
(989) 928-4974
NPI assigned
Feb 28, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4703106603MIMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703106603 MI Yes

Addresses

Primary practice location

9941 S Block Rd
Birch Run, MI 48415-9279

Mailing address

9941 S Block Rd
Birch Run, MI 48415-9279
Phone (989) 928-4974

Other identifiers

IdentifierTypeStateIssuer
4703106603OtherMINURSE'S LICENSE

Other providers in Birch Run, MI

All providers in Birch Run, MI · Licensed Practical Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.