Individual
MRS. LAURA LEIGH WORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13491 S BUGAI RD, TRAVERSE CITY, MI 49684-8421
(231) 947-4394
Mailing address
13491 S BUGAI RD, TRAVERSE CITY, MI 49684-8421
(231) 947-4394
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601004553
MI
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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