Individual
LAUREN MARJORIE SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
701 S BALLENGER HWY, FLINT, MI 48532-3804
(810) 238-3603
(810) 767-5194
Mailing address
701 S BALLENGER HWY, FLINT, MI 48532-3804
(810) 238-3603
(810) 767-5194
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005687
MI
152W00000X
Optometrist
OEG003281
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4901005687
STATE LICENSE
MI
Enumeration date
07/21/2017
Last updated
04/16/2024
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