Most Relevant Information
Provider Data
| NPI Number: | 1003343369 |
| Provider Name: | LUCINDA PRYOR |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704265636 |
Most Important Dates
| Enumeration Date: | 05/17/2017 |
| Last Updated: | 04/25/2021 |
Provider Practice Location
1161 STACY DR
CANTON
MI
481881426
Practice Location Phone/Fax
| Phone: | 3137405358 |
| Fax: |
Provider Mailing Location
1161 STACY DR
CANTON
MI
481881426
Provider Mailing Phone/Fax
| Phone: | 3137405358 |
| Fax: |