Provider Demographics
NPI:1053951814
Name:TURBOVSKY, LANA (NP)
Entity type:Individual
Prefix:
First Name:LANA
Middle Name:
Last Name:TURBOVSKY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7125 ORCHARD LAKE RD STE 210
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3618
Mailing Address - Country:US
Mailing Address - Phone:248-757-2410
Mailing Address - Fax:248-757-2412
Practice Address - Street 1:7125 ORCHARD LAKE RD STE 210
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3618
Practice Address - Country:US
Practice Address - Phone:248-757-2410
Practice Address - Fax:248-757-2412
Is Sole Proprietor?:No
Enumeration Date:2020-01-09
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704309194363LF0000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily