Individual
LAUREL JACQMAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SST
Contact information
Practice address
812 E JOLLY RD, LANSING, MI 48910-6818
(517) 346-8575
Mailing address
812 E JOLLY RD, LANSING, MI 48910-6818
(517) 346-8575
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
6853088654
MI
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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