LAWANDA HICKS AGBASSI NP NPI 1083638993

NPI Information

NPI: 1083638993
Provider Name: LAWANDA HICKS AGBASSI, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
15357 FARMINGTON RD
SUITE 2
LIVONIA, MI
ZIP 48154
Phone: (313) 282-4527
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Lawanda Hicks Agbassi, NP is a family nurse practitioner in Livonia, MI. Lawanda Hicks Agbassi, NP NPI is 1083638993. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15357 FARMINGTON RD
SUITE 2
LIVONIA, MI
ZIP 48154-863
Phone: (313) 282-4527

The NPI 1083638993 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 8/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	4704163985	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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