Doctor Name: | LAURA VASQUEZ JEAN-FRANCOIS |
NPI Number: | 1114253978 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 4704239591 |
Business Practice Address: | 2270 Jolly Oak Rd Suite 1 Okemos, MI - 488643542 |
Business Phone Number: | 5173496140 |
Business Fax Number: | 5173496216 |
Mailing Address: | 2270 Jolly Oak Rd, Suite 1 OKEMOS |
State: | MI |
Postal Code: | 488643542 |
Phone Number: | 5173496140 |
Fax Number: | 5173496216 |
NPI Enumeration Date: | 10/28/2009 |
NPI Last Update Date: | 07/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 4704239591 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |