Individual
LANETTA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6001 W OUTER DR, #400, DETROIT, MI 48235
(313) 966-4200
(313) 966-3560
Mailing address
6001 W OUTER DR, #400, DETROIT, MI 48235
(313) 966-4200
(313) 966-3560
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301060101
MI
207VG0400X
Gynecology Physician
LC060101
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104536439
—
MI
Enumeration date
06/09/2006
Last updated
03/31/2022
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