Individual
LAURIE A DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ATC
Contact information
Practice address
48875 HAYES RD, SHELBY TOWNSHIP, MI 48315-4405
(586) 532-9602
(586) 532-9005
Mailing address
53032 SCENIC DR, SHELBY TOWNSHIP, MI 48316-2149
(248) 650-0391
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/26/2007
Last updated
07/08/2007
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