Lifting Star's Community Services

Specialty details in registry · Dearborn, MI

Call (313) 454-7736 Directions

At a glance

7904 Mead St, Dearborn, MI 48126-1067

NPPES record updated Mar 18, 2021. Public records can lag behind changes at a practice.

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Practice location

7904 Mead St
Dearborn, MI 48126-1067
Professional details: NPI, taxonomy & registry record
NPI1619553955
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
320800000X
Enumeration date
Mar 18, 2021
Record updated
Mar 18, 2021
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251E00000X

Specialty details in registry

251S00000X

Specialty details in registry

320800000X · Primary

Specialty details in registry

385H00000X

Specialty details in registry

385HR2055X

Specialty details in registry

385HR2065X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

7904 Mead St
Dearborn, MI 48126-1067
Phone
(313) 454-7736
Mailing address
7904 MEAD ST

DEARBORN, MI 481261067
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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