Individual
LAUREN PERUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7018 KITSON DR NE, ROCKFORD, MI 49341-8545
(810) 569-3091
Mailing address
7018 KITSON DR NE, ROCKFORD, MI 49341-8545
(810) 569-3091
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704336221
MI
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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