Individual
MALIK LAURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 S. TELEGRAPH, BUILDING 32 EAST, PONTIAC, MI 48341
(800) 231-1127
Mailing address
12808 WADE ST, DETROIT, MI 48213-1867
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
2003096
MI
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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