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Organization

LUCE-MACKINAC DISTRICT HEALTH DEPARTMENT

Active
Parent organization
LUCE-MACKINAC DISTRICT HEALTH DEPARTMENT
Other names
LMAS Regional Laboratory
Organization subpart
Yes

Provider details

NPI number
Legal business name
LUCE-MACKINAC DISTRICT HEALTH DEPARTMENT
Authorized official
SHAUNTA BOSANIC (AUTHORIZED OFFICIAL)
(906) 341-6951
Entity
Organization

Contact information

Practice address
14150 HAMILTON LAKE ROAD, NEWBERRY, MI 49868
(906) 293-5107
Mailing address
14150 HAMILTON LAKE ROAD, NEWBERRY, MI 49868
(906) 293-5107

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
11/02/2021
Last updated
11/02/2021
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