Individual
LAURA RANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5900 N LOTZ RD, CANTON, MI 48187-4331
(734) 394-4500
Mailing address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704294172
MI
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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