Individual
SUSAN E CORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7407 SANDPIPER LN, LANSING, MI 48917-9555
(517) 214-3243
Mailing address
7407 SANDPIPER LN, LANSING, MI 48917-9555
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703097729
MI
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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