Individual
MS. JUDITH E DAOUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PAC
Contact information
Practice address
3496 E LAKE LANSING RD, EAST LANSING, MI 48823-2288
(517) 780-6157
(517) 780-6144
Mailing address
3496 E LAKE LANSING RD, EAST LANSING, MI 48823-2288
(517) 780-6157
(517) 780-6144
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002236
MI
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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