Lisa A Boros-Laurain in Dearborn - Medical
Lisa A Boros-Laurain - NPI 1669636130
Lisa A Boros-Laurain is a Medical in Dearborn, Michigan. Lisa A Boros-Laurain practices all healthcare services and medical treatments related to Medical. The NPI Number for Lisa A Boros-Laurain is 1669636130. The last update date is 2008-07-15.
Lisa A Boros-Laurain's current location address is 3133 S.telegraph, Dearborn, Michigan. You can contact this provider via phone number 3135656566 and fax number 3135615554. The mailing address for Lisa A Boros-Laurain is 3133 S.telegraph, Dearborn, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa A Boros-Laurain |
|---|---|
| Address | 3133 S.telegraph, Dearborn, Michigan |
| Phone Number | 3135656566 |
| Fax Number | 3135615554 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1669636130 |
|---|---|
| Provider Enumeration Date | 2008-07-15 |
| Last Updated Date | 2008-07-15 |
Provider Mailing Address Detail
| Address | 3133 S.telegraph |
|---|---|
| City | Dearborn |
| State | Michigan (MI) |
| Post Code | 48124 |
| Phone Number | 3135656566 |
| Fax Number | 3135615554 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 5601004322 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5601004322 | MI | PHYSICIAN'S ASSISTANT LICENS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Lisa A Boros-Laurain?
The Lisa A Boros-Laurain has been issued the NPI (National Provider Identifier) 1669636130 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Lisa A Boros-Laurain?
The Lisa A Boros-Laurain is physically situated at 3133 S.Telegraph, in the city of Dearborn, state of MI, with the postal code 48124.
What is Lisa A Boros-Laurain's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lisa A Boros-Laurain is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
When did Lisa A Boros-Laurain receive its 1669636130 assignment?
The Lisa A Boros-Laurain was assigned its 1669636130 on 2008-07-15, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Lisa A Boros-Laurain most recently updated or revised?
The information pertaining to Lisa A Boros-Laurain, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-15.