Individual
LAURA LYNNE MINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
311 W 15TH ST, TRAVERSE CITY, MI 49684-4110
(231) 342-5833
Mailing address
311 W 15TH ST, TRAVERSE CITY, MI 49684-4110
(231) 342-5833
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703076821
MI
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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