Individual
MS. LAUREL GOTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
14555 LEVAN RD STE 311, SUITE 311, LIVONIA, MI 48154
(734) 655-2692
(734) 655-4218
Mailing address
24 FRANK LLOYD WRIGHT DRIVE, SUITE J2000, ANN ARBOR, MI 48105
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012980
MI
Other
Enumeration date
11/25/2024
Last updated
10/21/2025
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