Individual
MS. LAURA MICHELLE DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2900 UNION LAKE RD, COMMERCE TOWNSHIP, MI 48382-3500
(248) 242-6049
Mailing address
29610 GILCHREST ST, FARMINGTON HILLS, MI 48334-1614
(248) 255-7655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704264067
MI
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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