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MS. LAURA LUCILLE MCCULLY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
2200 SPRINGPORT RD, JACKSON, MI 49202-1432
(517) 784-9356
(517) 780-9286
Mailing address
2298 SPRINGPORT RD, STE B, JACKSON, MI 49202-1475
(517) 784-3950
(517) 817-1681

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704201104
MI

Other

Enumeration date
06/30/2005
Last updated
07/09/2007
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