Individual
LAUREN ELIZABETH MODRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 S WASHINGTON AVE, SAGINAW, MI 48601-2556
(989) 754-3000
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704369211
MI
363LF0000X
Family Nurse Practitioner
Primary
4704369211
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/08/2024
Last updated
12/19/2025
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