LAUREN MARIE BULLARD

DEARBORN, MI
NPI1720330319
Former NameLAUREN MARIE SHOEMAKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601006508)
Enumeration Date2012-10-08
Last Update Date2020-10-22
Business Address
LAUREN MARIE BULLARD PA-C
17000 HUBBARD DR STE 300
DEARBORN, MI 48126-4258
Phone number: 313-271-3802
Mailing Address
LAUREN MARIE BULLARD PA-C
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number: 947-522-1863
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