| Lequishia Alexander Md Pllc | |
|
2366 John R Rd Apt 205 Troy MI 48083-2573 | |
| (248) 234-8690 | |
| (248) 234-8777 |
| Full Name | Lequishia Alexander Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2366 John R Rd Apt 205, Troy, Michigan |
| Authorized Official Name and Position | Lequishia Alexander (OWNER) |
| Authorized Official Contact | 3137121177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lequishia Alexander Md Pllc 2844 Livernois Rd Unit 99153 Troy MI 48099-7423 Ph: (313) 712-1177 | Lequishia Alexander Md Pllc 2366 John R Rd Apt 205 Troy MI 48083-2573 Ph: (248) 234-8690 |
| NPI Number | 1437506052 |
|---|---|
| Provider Enumeration Date | 05/24/2016 |
| Last Update Date | 06/03/2016 |
| Medicare PECOS PAC ID | 2668766700 |
|---|---|
| Medicare Enrollment ID | O20160811001953 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437506052 | NPI | - | NPPES |
| 1164621884 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301090603 (Michigan) | Primary |
| Provider Name | Lequishia Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164621884 PECOS PAC ID: 9436308707 Enrollment ID: I20121001000401 |
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