Individual
LAUREN M. REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 922-9270
(231) 922-9271
Mailing address
PO BOX 107, TRAVERSE CITY, MI 49685-0107
(231) 922-9270
(231) 922-9271
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006144
MI
Other
Enumeration date
09/20/2011
Last updated
11/15/2011
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