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NPI Code Detail

MEDICARE: DORLAINA COIL CPHT

MEDICARE: DORLAINA COIL CPHT
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
1183700000XPharmacy Technician270101031154205MI

General Provider Information

NPI Number : 1851781744
Entity Type Code : Individual
Provider Name (Legal Business Name) : DORLAINA COIL CPHT
Provider Business Mailing Address
First Line : 5609 W SAGINAW HWY
Second Line :
City : LANSING
State : MI
Zip : 48917-2456
Country : US
Telephone Number : 517-327-0620
Fax Number : 517-318-0644
Provider Business Practice Location Address
First Line : 5609 W SAGINAW HWY
Second Line :
City : LANSING
State : MI
Zip : 48917-2456
Country : US
Telephone Number : 517-327-0620
Fax Number : 517-318-0644
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2015
Last Update Date : 01/29/2015

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Directions to “ DORLAINA COIL CPHT” Practice Location

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