Individual
LASARA MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEB, HHA, MLT
Contact information
Practice address
5115 LAKEPOINTE ST, DETROIT, MI 48224-3006
(313) 424-3244
Mailing address
19157 BRADFORD ST, DETROIT, MI 48205-2107
(313) 424-3244
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
8604001228
MI
246RP1900X
Phlebotomy Technician
Primary
8604001228
MI
251E00000X
Home Health Agency
—
MI
Other
Enumeration date
07/29/2019
Last updated
08/05/2025
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