Individual
TRACI RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1375 N MAIN ST, LAPEER, MI 48446-1350
(810) 667-5500
Mailing address
1375 N MAIN ST, LAPEER, MI 48446-1350
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704251407
MI
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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