Individual
DR. CLAUDE WARD LAUDERBACH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C, RN, DNP
Contact information
Practice address
36200 SCHOOLCRAFT RD, LIVONIA, MI 48150-1253
(734) 432-5482
Mailing address
41553 FAWN TRL, NOVI, MI 48375-4817
(810) 923-7490
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4734328692
MI
163WA2000X
Administrator Registered Nurse
4734328692
MI
363LF0000X
Family Nurse Practitioner
Primary
4704128692NSA17450
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704128692NSA1450
MICHIGAN LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
10/15/2006
Last updated
11/21/2017
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