Individual
LAUREN WEINBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1352 S LINDEN RD, FLINT, MI 48532-4185
(810) 230-0001
(810) 230-0014
Mailing address
1352 S LINDEN RD, FLINT, MI 48532-4185
(810) 230-0001
(810) 230-0014
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003418
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601003418
STATE LICENSE
MI
Enumeration date
10/05/2012
Last updated
10/05/2012
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