Individual
LERA-JO ANN CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
620 BYRON RD, HOWELL, MI 48843-1002
(517) 545-6593
Mailing address
6498 BARRIE CIR, BRIGHTON, MI 48114-7430
(810) 220-3644
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
4704117443
MI
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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