Individual
LAUREN DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
233 OAK GROVE AVE, APT. L, JACKSON, MI 49203-1090
(517) 499-8857
Mailing address
233 OAK GROVE AVE, APT. L, JACKSON, MI 49203-1090
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703111013
MI
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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