Individual
CHANTEL LACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7107 N WAYNE RD, WESTLAND, MI 48185-2172
(408) 396-2646
Mailing address
23257 CORA AVE, FARMINGTON HILLS, MI 48336-3305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MI
Other
Enumeration date
06/14/2017
Last updated
05/20/2019
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