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Individual

DR. LAUREN ELIZABETH RODERICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
4717 SAINT ANTOINE ST, DETROIT, MI 48201-1423
(313) 577-8900
(313) 577-0700
Mailing address
1560 E MAPLE RD, TROY, MI 48083-1138
(313) 577-8900
(313) 577-0700

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1751
SC
152W00000X
Optometrist
Primary
4901005032
MI

Other

Enumeration date
07/20/2012
Last updated
05/10/2017
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