Individual
LAODAIJA LEGRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 ROBERT T LONGWAY BLVD STE B, FLINT, MI 48503-2190
(810) 235-2004
(810) 235-2841
Mailing address
2700 ROBERT T LONGWAY BLVD STE B, FLINT, MI 48503-2190
(810) 235-2004
(810) 235-2841
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704279717
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704279717
MI
Other
Enumeration date
04/28/2021
Last updated
11/14/2022
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