MEDICARE: AMBER EASTMAN

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
1	247200000X	Other Technician

General Provider Information

NPI Number	:	1770008054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER EASTMAN

Provider Business Mailing Address
First Line	:	1570 SUNCREST DR
Second Line	:
City	:	LAPEER
State	:	MI
Zip	:	48446-1154
Country	:	US
Telephone Number	:	810-667-0500
Fax Number	:	810-664-8728

Provider Business Practice Location Address
First Line	:	1570 SUNCREST DRIVE
Second Line	:
City	:	LAPEER
State	:	MI
Zip	:	48446
Country	:	US
Telephone Number	:	810-667-0500
Fax Number	:	810-664-8728

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2017
Last Update Date	:	05/31/2026

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Directions to “ AMBER EASTMAN ” Practice Location

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