Individual provider · Type 1 NPI

Lydell Jamal Henderson

Driver · Southfield, MI

NPI number 1982139671 Active

About NPI 1982139671

Lydell Jamal Henderson's National Provider Identifier is 1982139671, issued on May 1, 2017. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Southfield, MI. The record was last updated on May 1, 2017.