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Individual

LAUREN LIETAERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
16645 15 MILE RD, CLINTON TOWNSHIP, MI 48035-2206
(586) 213-5505
(586) 213-5504
Mailing address
16645 15 MILE RD, CLINTON TOWNSHIP, MI 48035-2206
(586) 213-5505
(586) 213-5504

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704267461
MI

Other

Enumeration date
08/06/2014
Last updated
01/18/2024
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