Lucinda Pryor
Nurse Practitioner - Family Medicine
1161 Stacy Dr
Canton
, Michigan 48188-1426
Lucinda Pryor
Nurse Practitioner - Family Medicine
1161 Stacy Dr
Canton
, Michigan 48188-1426
(313) 740-5358
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Lucinda Pryor
- 1161 Stacy Dr
- Canton, MI
- Zip : 48188-1426
- Phone : (313) 740-5358
Second Address
- Lucinda Pryor
- 1161 Stacy Dr
- Canton, MI
- Zip : 48188-1426
- Phone : (313) 740-5358
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 4704265636 | MI |
National Provider Identifier
| NPI | 1003343369 |
|---|---|
| Provider Name | Lucinda Pryor |
| First Address | Canton, MI 48188-1426 |
| Second Address | Canton, MI 48188-1426 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2017 |
| Last Update Date | 25/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.