Individual provider · Type 1 NPI

Lydia J. Commissaris, FNP-BC

Family Nurse Practitioner · Detroit, MI

NPI number 1972834422 Active

Practice location

45 W. Grand River Ave
Detroit, MI 48226

Call (313) 585-4734 Map

Mailing address

1202 Greenleaf Dr
Royal Oak, MI 48067-1170

Other practice locations

  • 6450 Maple St, Dearborn, MI 48126-2259 · (313) 216-2246

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704177563 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1972834422

Lydia J. Commissaris, FNP-BC's National Provider Identifier is 1972834422, issued on Jan 22, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Detroit, MI. The record was last updated on Mar 17, 2018.