Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 5101014877 | MI |
N | 2084N0600X | Clinical Neurophysiologist | 5101014877 | MI |
NPI | 1023216488 |
---|---|
Provider Name | Dr. Holly Erin Lorigan |
First Address | Royal Oak, MI 48067-2172 |
Second Address | Troy, MI 48083 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2007 |
Last Update Date | 25/04/2013 |