Individual
MISS LORRAINE CLOSSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
68753 S MAIN ST, RICHMOND, MI 48062-1209
(810) 887-7971
Mailing address
6870 PERRY RD, BROCKWAY, MI 48097-3909
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7501006247
MI
Other
Enumeration date
05/29/2016
Last updated
05/29/2016
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