Individual
MRS. DANETTE LEE WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
830 W. LAKE LANSING RD, SUITE 190, EAST LANSING, MI 48823
(517) 333-8533
(517) 333-8539
Mailing address
830 W. LAKE LANSING RD, SUITE 190, EAST LANSING, MI 48823
(517) 333-8533
(517) 333-8539
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501013966
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30658
BLUE CROSS
—
Enumeration date
07/29/2008
Last updated
05/03/2019
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