Individual
LAURIE B ROLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, HENRY FORD HEALTH SYSTEM, DETROIT, MI 48202
(313) 916-1557
Mailing address
2799 W. GRAND BLVD, CFP 2, HENRY FORD HOSPITAL, DETROIT, MI 48202
(313) 916-1557
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301076744
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010H262530
BLUE CROSS-BLUE CROSS
—
05
—
453873810
—
MI
01
—
LR076744
CHAMPUS-CHAMPUS
—
Enumeration date
11/17/2006
Last updated
09/24/2014
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