Individual
LAURA LYNN AZZOUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
20317 FARMINGTON RD, LIVONIA, MI 48152-1411
(248) 615-0777
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5151013416
MI
Other
Enumeration date
05/13/2019
Last updated
07/21/2022
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