Individual
DR. LAURIE A LUNDBLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
9357 GENERAL DR, SUITE 101, PLYMOUTH, MI 48170-4662
(734) 454-0866
(734) 454-1744
Mailing address
9357 GENERAL DR, SUITE 101, PLYMOUTH, MI 48170-4662
(734) 454-0866
(734) 454-1744
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6301013693
MI
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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