Individual
LAURA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 STODDARD RD, RICHMOND, MI 48062-2505
(810) 395-3530
Mailing address
30341 PROGRESS ST, ROSEVILLE, MI 48066-4643
(586) 489-3660
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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