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ALLISON LAURIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
5401 MCAULEY DRIVE, ANN ARBOR, MI 48106-0995
(734) 712-5869
(734) 712-5745
Mailing address
5401 MCAULEY DRIVE, P.O. BOX 995, ANN ARBOR, MI 48106-0995
(734) 712-5869
(734) 712-5745

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704272553
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704272553
MI

Other

Enumeration date
06/19/2014
Last updated
05/13/2016
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