Most Relevant Information
Provider Data
| NPI Number: | 1003497728 |
| Provider Name: | LAUREN M NESI |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/15/2021 |
| Last Updated: | 04/15/2021 |
Provider Practice Location
4160 JOHN R ST STE 1017
DETROIT
MI
482012017
Practice Location Phone/Fax
| Phone: | 3137454123 |
| Fax: |
Provider Mailing Location
19 COLVIN RD
SCARSDALE
NY
105831407
Provider Mailing Phone/Fax
| Phone: | 9145227756 |
| Fax: |