Individual provider · Type 1 NPI
Lisa A. Boros-Laurain, P.A.
Medical Physician Assistant · Dearborn, MI
NPI number
1669636130
Active
Practice location
3133 S.telegraph
Dearborn, MI 48124
Fax (313) 561-5554
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601004322 (MI) |
Medical Physician Assistant: Definition to come...
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About NPI 1669636130
Lisa A. Boros-Laurain, P.A.'s National Provider Identifier is 1669636130, issued on Jul 15, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Dearborn, MI. The record was last updated on Jul 15, 2008.