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Individual

LAURA JEAN LUND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2591 S LEATON RD, MT PLEASANT, MI 48858
(989) 775-4662
(989) 775-4666
Mailing address
2591 S LEATON RD, MT PLEASANT, MI 48858
(989) 775-4662
(989) 775-4666

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901017465
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3502900
MI
Enumeration date
10/23/2006
Last updated
03/07/2023
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