Individual
LAURYN HAUNCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
23898 BROADMOOR PARK LN, NOVI, MI 48374-3676
(248) 921-1405
Mailing address
23898 BROADMOOR PARK LN, NOVI, MI 48374-3676
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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