Individual
LAURA MANDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7661 THRASHER LN, KALAMAZOO, MI 49009-3859
(269) 569-4551
Mailing address
601 JOHN ST STE W-308, KALAMAZOO, MI 49007-5357
(269) 341-8827
(269) 552-5868
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704267866
MI
363LF0000X
Family Nurse Practitioner
4704267866
MI
Other
Enumeration date
03/12/2015
Last updated
02/25/2022
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