LAURA LANETTE OBENAUF

GRAND RAPIDS, MI
NPI1982678652
Former NameLAURA LANETTE LUGO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601003948)
Enumeration Date2006-02-17
Last Update Date2007-08-13
Business Address
-- LAURA LANETTE OBENAUF P.A.
1840 WEALTHY ST SE MC 426
GRAND RAPIDS, MI 49506-2921
Phone number: 616-774-5221
Mailing Address
-- LAURA LANETTE OBENAUF P.A.
PO BOX 1682
GRAND RAPIDS, MI 49501-1682
Phone number: 616-774-5221
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