Individual
DR. LAURA CARRAVALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5710 CLIO RD, FLINT, MI 48504-1524
(810) 787-4445
(810) 244-8901
Mailing address
225 E 5TH ST, SUITE 300, FLINT, MI 48502-1641
(810) 406-4246
(810) 424-6029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301054994
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386624278
GROUP NPI
MI
05
—
4350553
—
MI
Enumeration date
01/19/2006
Last updated
11/15/2011
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