MISS LYDIA J COMMISSARIS FNP-BC
NPI 1972834422
Nurse Practitioner - Family in Detroit, MI

Q: What is Lydia Commissaris's NPI number?

The NPI number for Lydia Commissaris is 1972834422. It was assigned to this individual provider in the NPPES registry on January 22, 2010.

Q: What is Lydia Commissaris's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lydia Commissaris was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 22, 2010

45 W. GRAND RIVER AVE, DETROIT, MI 48226(313) 585-4734 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Mar 17, 2018, Mar 5, 2018 (2 updates tracked since 2018).

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About Miss Lydia J Commissaris Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS LYDIA J COMMISSARIS FNP-BC (NPI 1972834422) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704177563) and active in the NPI registry since January 2010. She maintains a secondary practice location in Dearborn.

NPPES Registry Identity

NPI1972834422

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMISS LYDIA J COMMISSARISCredential: FNP-BC

Location Address45 W. GRAND RIVER AVEDetroit, MI 48226

Mailing Address1202 Greenleaf DrRoyal Oak, MI 48067-1170 · (248) 548-5772

Phone(313) 585-4734

Sole ProprietorYes

Enumeration DateJanuary 22, 2010

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1972834422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704177563

45 W. GRAND RIVER AVE, Detroit, MI 48226

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Secondary Practice Location 1

Location 16450 Maple StDearborn, MI 48126-2259 · Phone (313) 216-2246 · Fax (313) 584-3206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lydia Commissaris's NPI number?

The NPI number for Lydia Commissaris is 1972834422. It was assigned to this individual provider in the NPPES registry on January 22, 2010.

Where is Lydia Commissaris located?

Lydia Commissaris practices at 45 W. Grand River Ave, Detroit, MI 48226. The listed phone number is (313) 585-4734.

What is Lydia Commissaris's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lydia Commissaris was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.