Individual
SAMANTHA LAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1270 DORIS RD, AUBURN HILLS, MI 48326-2617
(248) 276-8000
Mailing address
1270 DORIS RD, AUBURN HILLS, MI 48326-2617
(248) 276-8000
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/05/2017
Last updated
07/21/2022
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