Individual
TARA LAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20456 E PLEASANT LAKE RD, MANCHESTER, MI 48158-9726
(517) 376-1403
Mailing address
20456 E PLEASANT LAKE RD, MANCHESTER, MI 48158-9726
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704278033
MI
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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