Individual
JEREMY PHILLIP LAPHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
7425 WILLIS RD, RM P114, YPSILANTI, MI 48197
(734) 714-9600
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704252058
MI
363LF0000X
Family Nurse Practitioner
4704252058
MI
Other
Enumeration date
05/12/2014
Last updated
04/07/2017
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