Individual
LAURYN ALEXUS MCKENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
674 GLYNN CT, DETROIT, MI 48202-1451
(313) 707-0090
Mailing address
220 W CONGRESS ST # 1024, DETROIT, MI 48226-3289
(313) 513-2400
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703121534
MI
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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