Individual
MACKENZIE A COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DR.
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-3100
Mailing address
3131 BYRON RD, HOWELL, MI 48855-8767
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704374512
MI
Other
Enumeration date
05/25/2023
Last updated
10/02/2025
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