Individual
LAURA LERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
25340 W 6 MILE RD, REDFORD, MI 48240-2105
(313) 282-5402
Mailing address
PO BOX 401102, REDFORD, REDFORD, MI 48240-9102
(313) 282-5402
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
501096-05
NCBTMB/CERTIFICATION
MI
Enumeration date
11/01/2007
Last updated
11/01/2007
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