Individual
LAUREN HEPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 GARDENIA AVE APT 106, ROYAL OAK, MI 48067-2136
(248) 410-5998
Mailing address
1717 GARDENIA AVE APT 106, ROYAL OAK, MI 48067-2136
(248) 410-5998
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704329888
MI
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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