Individual
LAURIE H NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4615 N MAPLE RD., ANN ARBOR, MI 48105-9208
(734) 996-4525
(248) 357-0915
Mailing address
4615 N. MAPLE RD., ANN ARBOR, MI 48105-9208
(734) 996-4525
(248) 357-0915
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704106220
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LN106220
BLUE CROSS NUMBER
MI
Enumeration date
06/14/2006
Last updated
02/16/2011
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