Individual
JESSICA LAUZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5000
Mailing address
9411 ALLEN RD, ALLEN PARK, MI 48101-1437
(313) 475-1667
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008983
MI
Other
Enumeration date
02/15/2019
Last updated
10/29/2019
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