Individual
MRS. LAURA MARIE FORTUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N TELEGRAPH RD, PONTIAC, MI 48341-1032
(248) 451-2600
Mailing address
9750 KENYON AVE, FENTON, MI 48430-8222
(810) 625-5400
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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