Individual
KATELYN DONOFRIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
107 N WASHINGTON SQ, LANSING, MI 48933-1777
(517) 253-4004
Mailing address
107 N WASHINGTON SQ, LANSING, MI 48933-1777
(517) 253-4004
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704282555
MI
Other
Enumeration date
06/29/2015
Last updated
05/17/2016
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