Individual
MRS. LAURIE GAJEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
265 N MICHIGAN AVE, COLDWATER, MI 49036-1528
(517) 278-1926
(517) 279-6555
Mailing address
265 N MICHIGAN AVE, COLDWATER, MI 49036-1528
(517) 278-1926
(517) 279-6555
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703024871
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164W00000X
—
MI
Enumeration date
09/20/2012
Last updated
09/20/2012
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