Individual
MR. LAURENCE BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
6106 N LINVILLE ST, WESTLAND, MI 48185-8120
(734) 658-8494
Mailing address
6106 N LINVILLE ST, WESTLAND, MI 48185-8120
(734) 658-8494
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703085795
MI
Other
Enumeration date
04/10/2015
Last updated
04/13/2015
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