Individual
KEYARAH DENISE LAWRENCE-BROWN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16854 EDMORE DR, DETROIT, MI 48205-1516
(313) 316-8256
Mailing address
16854 EDMORE DR, DETROIT, MI 48205-1516
(313) 316-8256
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
Primary
L652465138552
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L652465139552
NONE
MI
Enumeration date
03/08/2019
Last updated
03/08/2019
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