Liz Life Guru Llc | |
1134 S Lapeer Rd Lowr Level Lapeer MI 48446-3042 | |
(313) 588-0418 | |
Not Available |
Full Name | Liz Life Guru Llc |
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Speciality | Social Worker |
Location | 1134 S Lapeer Rd Lowr Level, Lapeer, Michigan |
Authorized Official Name and Position | Elizabeth M Reed (SOLE MEMBER) |
Authorized Official Contact | 3135880418 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Liz Life Guru Llc 4150 Newark Rd Attica MI 48412-9760 Ph: (313) 588-0418 | Liz Life Guru Llc 1134 S Lapeer Rd Lowr Level Lapeer MI 48446-3042 Ph: (313) 588-0418 |
NPI Number | 1356850481 |
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Provider Enumeration Date | 09/20/2017 |
Last Update Date | 09/20/2017 |
Medicare PECOS PAC ID | 4688949993 |
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Medicare Enrollment ID | O20171011003189 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356850481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Elizabeth M Reed |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356639983 PECOS PAC ID: 1658661756 Enrollment ID: I20160601002642 |
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