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Individual

JENNIFER LYNNE CASWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
3955 PATIENT CARE DR, LANSING, MI 48911
(517) 374-7600
(855) 495-5457
Mailing address
3955 PATIENT CARE DR, LANSING, MI 48911-4299
(517) 374-7600
(855) 495-5457

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005553
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5601005553
STATE OF MICHIGAN
MI
Enumeration date
11/17/2009
Last updated
07/09/2019
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