Individual
LAUREN MICHELLE PLANTRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-6448
Mailing address
702 CHAMBERS ST, ROYAL OAK, MI 48067-4208
(248) 840-3884
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005809
MI
Other
Enumeration date
09/22/2010
Last updated
09/22/2014
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