Coleman, Lanetta

Coleman, Lanetta is an individual health care provider with primary practice located at 6001 W Outer Dr #400, Detroit MI 48235. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Coleman, Lanetta can be contacted via phone (313) 966-4200.

Contact Information

Primary practice address
6001 W Outer Dr #400 Detroit MI 48235
Fax: (313) 966-3560
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X LC060101 Michigan
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301060101 Michigan

Profile Details

NPI number 1033150032
LBN Legal business name Coleman, Lanetta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Mar 31st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033150032 NPPES
Michigan MEDICAID 104536439

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