Individual
LAUREN ASHLEY ZACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., PA-C
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-3456
Mailing address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011830
MI
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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