Individual
MRS. LAURIE ANNE FREEMAN-GIBB
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4100 JOHN R ST, WALT CBC KARMANOS CC, DETROIT, MI 48201-2013
(313) 576-8694
Mailing address
2524 CURRY AVE, WINDSOR, ONTARIO N9E 2-S5
(519) 250-0477
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704163706
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50-0-86-6521-0
BCBS
MI
Enumeration date
11/10/2005
Last updated
07/08/2007
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