Individual
LARA LEITE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
960 M 60 E, CASSOPOLIS, MI 49031-9339
(269) 445-2451
Mailing address
960 M 60 E, CASSOPOLIS, MI 49031-9339
(269) 445-2451
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704224371
MI
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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