Individual
LAUREN ALICE VANDE LAARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15457 FAIRLANE DR, LIVONIA, MI 48154-2639
(313) 378-3098
Mailing address
15457 FAIRLANE DR, LIVONIA, MI 48154-2639
(313) 378-3098
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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