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NPI Code Detail

MEDICARE: MRS. LAURA MATTSON ZANG N.P.

MEDICARE: MRS. LAURA MATTSON ZANG N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner4704096784MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10H24998OTHERMIBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346542065
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURA MATTSON ZANG N.P.
Provider Business Mailing Address
First Line : 26650 EUREKA RD
Second Line : SUITE C-1
City : TAYLOR
State : MI
Zip : 48180-4835
Country : US
Telephone Number : 734-941-4991
Fax Number : 734-941-4919
Provider Business Practice Location Address
First Line : 2500 HAMLIN DR
Second Line :
City : INKSTER
State : MI
Zip : 48141-2348
Country : US
Telephone Number : 313-561-5100
Fax Number : 313-565-0309
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2010
Last Update Date : 10/21/2011

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Directions to “ MRS. LAURA MATTSON ZANG N.P.” Practice Location

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