Individual
LAUREN CISLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37000 GRAND RIVER AVE STE 310, FARMINGTON HILLS, MI 48335-2868
(248) 536-2127
Mailing address
2153 LAKEVIEW DR APT 38, YPSILANTI, MI 48198-6708
(734) 558-2066
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011939
MI
Other
Enumeration date
11/06/2023
Last updated
11/17/2023
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