| Doctor Name: | MRS. LAURA MATTSON ZANG |
| NPI Number: | 1346542065 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 4704096784 |
| Business Practice Address: | 2500 Hamlin Dr Inkster, MI - 481412348 |
| Business Phone Number: | 3135615100 |
| Business Fax Number: | 3135650309 |
| Mailing Address: | 26650 Eureka Rd, Suite C-1 TAYLOR |
| State: | MI |
| Postal Code: | 481804835 |
| Phone Number: | 7349414991 |
| Fax Number: | 7349414919 |
| NPI Enumeration Date: | 12/01/2010 |
| NPI Last Update Date: | 10/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4704096784 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |