Individual
MS. LAUREN VICTORIA HAYSLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 E MICHIGAN AVE STE 415, LANSING, MI 48912-1897
(517) 484-2760
Mailing address
16790 CHANDLER RD APT 2109, EAST LANSING, MI 48823-7134
(517) 282-4143
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010304
MI
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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