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Individual

DR. LORENZO LOGRASSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
33100 S GRATIOT AVE, CLINTON TOWNSHIP, MI 48035-4036
(586) 294-0120
Mailing address
47695 ROBINS NEST DR, SHELBY TOWNSHIP, MI 48315-5200
(586) 480-9044

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005552
MI

Other

Enumeration date
06/08/2021
Last updated
06/08/2021
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