Individual
LAURA ROBERTA MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 8TH ST, PORT HURON, MI 48060-5804
(810) 531-2704
Mailing address
5797 RIVER RD, EAST CHINA, MI 48054-4733
(810) 531-2704
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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