Individual
JAYME LAURENCELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, TC 3116, SPC 5368, ANN ARBOR, MI 48109-5000
(734) 845-5290
Mailing address
1500 E MEDICAL CENTER DR, TC 3116, SPC 5368, ANN ARBOR, MI 48109-5000
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
4301107860
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301107860
MI
Other
Enumeration date
06/12/2015
Last updated
05/27/2020
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