Individual provider · Type 1 NPI

Elorie Lilah Derderian

Technician/Technologist · Lake Orion, MI

NPI number 1124780796 Active

Practice location

1236 S Lapeer Rd
Lake Orion, MI 48360-1433

Specialties and licenses

TaxonomyCodeLicense
Technician/Technologist Primary 156F00000XNone listed

Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.

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About NPI 1124780796

Elorie Lilah Derderian's National Provider Identifier is 1124780796, issued on Oct 11, 2021. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Lake Orion, MI. The record was last updated on Oct 11, 2021.