Individual
LAURIE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27472 SCHOENHERR RD, SUITE A, WARREN, MI 48088-6688
(586) 439-6243
(586) 439-6240
Mailing address
27472 SCHOENHERR RD, SUITE A, WARREN, MI 48088-6688
(586) 439-6243
(586) 439-6240
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000473
MI
Other
Enumeration date
08/03/2011
Last updated
11/09/2015
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