Individual
LAURIN SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1490 UNIVERSITY BLVD, HAMILTON, OH 45011-3305
(513) 881-7189
(513) 881-7188
Mailing address
601 JOHN ST, SUITE M351, KALAMAZOO, MI 49007-5341
(269) 341-7784
(269) 341-7979
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005746
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417961137
BCBSM
MI
05
—
1437460946
—
MI
Enumeration date
06/30/2010
Last updated
07/01/2015
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