LORI J TATAY

WYOMING, MI
NPI1942376165
Other NameLORI J TATAY-YOUNG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601004900)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NH  EL31055)
Enumeration Date2006-11-28
Last Update Date2024-05-29
Business Address
LORI J TATAY PA-C
2122 HEALTH DR SW
WYOMING, MI 49519-9698
Phone number: 616-252-5790
Mailing Address
LORI J TATAY PA-C
5900 BYRON CENTER AVE SW MEDICAL ADMINISTRATION
WYOMING, MI 49519-9606
Phone number: 616-252-3243