Individual
LAUREN NOELLE EASTERBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-3456
Mailing address
303 S MAIN ST APT 201, ANN ARBOR, MI 48104-2165
(734) 231-9757
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2005715
MN
367500000X
Certified Registered Nurse Anesthetist
2320
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
4704358449
MI
Other
Enumeration date
01/07/2019
Last updated
04/16/2020
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