Individual
DEBORA LAZAREAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3075 W CLARK RD STE 108, YPSILANTI, MI 48197-1103
(734) 712-0566
Mailing address
3075 W CLARK RD STE 200, YPSILANTI, MI 48197-1103
(734) 528-9760
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101007599
MI
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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