Individual provider · Type 1 NPI

Nicole Lashawn Greene

Specialist · Detroit, MI

NPI number 1639330210 Active

Practice location

4533 St Clair St
Detroit, MI 48214

Call (313) 821-6309 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1639330210

Nicole Lashawn Greene's National Provider Identifier is 1639330210, issued on Jun 17, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Detroit, MI. The record was last updated on Jun 17, 2008.