Individual
LAUREN E GORNALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4912 W ST JOE HWY, LANSING, MI 48917-4090
(177) 193-8075
Mailing address
566 RILEY ST, LANSING, MI 48910-3247
(814) 969-0363
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902020252
MI
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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