Most Relevant Information
Provider Data
| NPI Number: | 1003674144 |
| Provider Name: | LAUREN KELLY NYITRAY |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 7152000558 |
Most Important Dates
| Enumeration Date: | 03/12/2024 |
| Last Updated: | 03/12/2024 |
Provider Practice Location
419 S CORAL ST
KALKASKA
MI
496462503
Practice Location Phone/Fax
| Phone: | 2312587500 |
| Fax: |
Provider Mailing Location
3639 MATADOR W APT 55
TRAVERSE CITY
MI
496844652
Provider Mailing Phone/Fax
| Phone: | 7349298577 |
| Fax: |