Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Lonnie David Mitchell, CPRM

Individual provider Contractor · NPI 1518484179

Mr. Lonnie David Mitchell, CPRM is a Contractor in Detroit, Michigan. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017
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Practice location Address checks out

1121 E McNichols Rd
Detroit, MI 48203-2857
Phone: (616) 365-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1518484179
Entity typeIndividual (Type 1)
GenderMale
Credentials CPRM
Sole proprietorYes
NPI enumeratedAugust 24, 2017
Last updated in NPPESJuly 21, 2022
Mailing address1121 E McNichols Rd, Detroit, MI 48203-2857

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