Individual
MS. LAUREN DADISHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.UD
Contact information
Practice address
5333 MCAULEY DR RM 2017, YPSILANTI, MI 48197
(734) 434-3200
(734) 434-3290
Mailing address
5333 MCAULEY DR RM 2017, YPSILANTI, MI 48197-1096
(734) 434-3200
(734) 434-3290
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000801
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1601000801
LICENSE NUMBER, BEGINNING CREDENTIALING PROCESS
MI
Enumeration date
06/19/2018
Last updated
05/07/2019
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