Individual
ALEEZA TARIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
300 N CLIPPERT ST STE 18A, LANSING, MI 48912-4637
(517) 827-0064
Mailing address
6880 DRAKE RD, WEST BLOOMFIELD, MI 48322-3153
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005908
MI
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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