Individual
LISA A BOROS-LAURAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3133 S.TELEGRAPH, DEARBORN, MI 48124
(313) 565-6566
(313) 561-5554
Mailing address
3133 S.TELEGRAPH, DEARBORN, MI 48124
(313) 565-6566
(313) 561-5554
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601004322
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601004322
PHYSICIAN'S ASSISTANT LICENSE
MI
Enumeration date
07/15/2008
Last updated
07/15/2008
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