Provider Demographics
NPI:1295911501
Name:COMPREHENSIVE WOMEN'S HEALTH, P.C.
Entity type:Organization
Organization Name:COMPREHENSIVE WOMEN'S HEALTH, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LANA
Authorized Official - Middle Name:D
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-236-0840
Mailing Address - Street 1:51 S WASHINGTON ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:OXFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48371-6418
Mailing Address - Country:US
Mailing Address - Phone:248-236-0840
Mailing Address - Fax:
Practice Address - Street 1:51 S WASHINGTON ST
Practice Address - Street 2:SUITE E
Practice Address - City:OXFORD
Practice Address - State:MI
Practice Address - Zip Code:48371-6418
Practice Address - Country:US
Practice Address - Phone:248-236-0840
Practice Address - Fax:248-236-9586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2009-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301071987207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty