Provider Demographics
NPI:1235833344
Name:MUHAMMAD-EL, LAJAH ZENE
Entity Type:Individual
Prefix:
First Name:LAJAH
Middle Name:ZENE
Last Name:MUHAMMAD-EL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:974 E GREENDALE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48203-2165
Mailing Address - Country:US
Mailing Address - Phone:313-685-3262
Mailing Address - Fax:
Practice Address - Street 1:974 E GREENDALE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48203-2165
Practice Address - Country:US
Practice Address - Phone:313-685-3262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4703127264164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse