Most Relevant Information
Provider Data
| NPI Number: | 1003070632 |
| Provider Name: | PAMELA BRIOSO GONZALES-LANAC PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 5501012837 |
Most Important Dates
| Enumeration Date: | 07/14/2008 |
| Last Updated: | 02/23/2018 |
Provider Practice Location
BEAUMONT HOSPITAL-TROY
44201 DEQUINDRE RD STE 203A
TROY
MI
480851117
Practice Location Phone/Fax
| Phone: | 2489644014 |
| Fax: |
Provider Mailing Location
BEAUMONT HOSPITAL
44201 DEQUINDRE RD STE 203A
TROY
MI
480851117
Provider Mailing Phone/Fax
| Phone: | 2489644014 |
| Fax: | 2489648099 |