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Individual

ELIZABETH KOZLOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
921 ABBOT RD STE SOUTH, EAST LANSING, MI 48823-3170
(517) 299-0663
(517) 299-0669
Mailing address
921 ABBOT RD STE SOUTH, EAST LANSING, MI 48823-3170
(517) 299-0663
(517) 299-0669

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101014400
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1104804285
MI
01
200000014548
PHP
MI
01
853303415
BCBS PIN
MI
Enumeration date
01/09/2006
Last updated
02/24/2025
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