Individual
LAURIE K MCCAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD PHD
Contact information
Practice address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 764-1562
(734) 763-3389
Mailing address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 764-1562
(734) 763-3389
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901016012
MI
1223P0300X
Periodontics
Primary
2901016012
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195816298
BCBS OF MI MED SURGICAL
MI
01
—
D160120
BCBS OF MI DENTAL
MI
Enumeration date
03/14/2007
Last updated
06/17/2008
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