Individual
LAUREN ANDREA BOHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 EAST MEDICAL CENTER DRIVE, 2ND FLOOR CS MOTT CHILDRENS HOSPITAL RECP A, ANN ARBOR, MI 48109-4227
(734) 936-5730
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301109447
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2010
Last updated
07/08/2016
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