LAUREN ELIZABETH FAVAZZA

DEARBORN, MI
NPI1871195727
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601010317)
Enumeration Date2020-11-14
Last Update Date2020-11-14
Business Address
LAUREN ELIZABETH FAVAZZA PA-C
2421 MONROE ST STE 201
DEARBORN, MI 48124-3043
Phone number: 313-914-3260
Mailing Address
LAUREN ELIZABETH FAVAZZA PA-C
14052 CRANSTON ST
LIVONIA, MI 48154-4249
Phone number: 734-536-4332
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