Individual
JAIME LYNN DREYER-LAEZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
44199 DEQUINDRE RD, SUITE 222, TROY, MI 48085-1128
(248) 879-5570
Mailing address
633 SOUTH BLVD E STE 2400, ROCHESTER HILLS, MI 48307-5471
(248) 879-5570
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301087960
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467660779
—
MI
Enumeration date
05/18/2007
Last updated
11/14/2019
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