Individual
LAUREN PETRUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 44TH ST SE STE 201, GRAND RAPIDS, MI 49512-9081
(616) 325-4839
Mailing address
2450 44TH ST SE STE 201, GRAND RAPIDS, MI 49512-9081
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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