Individual
LORI ELAINE GANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7155 W S AVE, SCHOOLCRAFT, MI 49087-8433
(269) 254-7045
Mailing address
7155 W S AVE, SCHOOLCRAFT, MI 49087-8433
(269) 254-7045
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704237873
MI
Other
Enumeration date
01/16/2021
Last updated
01/16/2021
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