Individual
MS. LAURA LYNN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
2139 OAKNOLL ST, AUBURN HILLS, MI 48326-3126
(248) 701-8451
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704272781
MI
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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