Individual
ALEXANDRA RAE BOUREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-1000
Mailing address
3977 QUARTERHORSE RD, EAST LANSING, MI 48823-6192
(586) 533-0474
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011748
MI
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/22/2023
Last updated
05/14/2025
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