Individual
DR. LA CLAIRE FAYE BOUKNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
138 SERVICE RD, STE A109, EAST LANSING, MI 48824-1313
(517) 432-4311
(517) 432-8356
Mailing address
D128 W FEE HALL, EAST LANSING, MI 48824-1315
(517) 355-3503
(517) 432-1167
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301039033
MI
Other
Enumeration date
06/16/2006
Last updated
07/09/2007
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