Individual
MRS. LASANDRUS MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10738 WHITEHILL ST, DETROIT, MI 48224-2455
(313) 289-9068
Mailing address
7429 W. GRANDRIVER AVE., DETROIT, MI 48204
(313) 289-9068
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
80-0353583
MI
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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