Individual
LAURA LEE RUBY GOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1890 CROOKS RD STE 200, TROY, MI 48084-5540
(248) 817-6704
Mailing address
1890 CROOKS RD STE 200, TROY, MI 48084-5540
(248) 817-6704
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/06/2018
Last updated
01/15/2025
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