NPI 1114382728

Lola Baskerville

Practitioner Registered Nurse Berkley, MI

Practice location

Address: 2766 W 11 Mile Rd Suite 2, Berkley, MI 48072-3033
Phone: (248) 542-2424
Fax: (248) 542-5621

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 4704119887 (MI)

Other Registered Nurse providers in Michigan →

Registry record

NPI: 1114382728
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Dec 2015
Record last updated: 24 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.