Individual
ALICIA DEROSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 253-3050
(517) 364-3943
Mailing address
3470 S SHORE DR, LAPEER, MI 48446-9755
(248) 396-3139
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704265519
MI
Other
Enumeration date
09/10/2015
Last updated
08/02/2016
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