Search › Michigan › 163W00000X
Nicole Lively
NPI 1326601782 · on the registry since 2019
Practice
- Address
- 23343 Golf Run Ln
Macomb, MI 48042 - Phone
- (586) 817-1432
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-04-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan