Kalliantasis, Lauren Alexis

Kalliantasis, Lauren Alexis is an sole proprietor health care provider with primary practice located at 22101 Moross Rd , Detroit MI 48236-2148. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Kalliantasis, Lauren Alexis can be contacted via phone (313) 343-4000.

Contact Information

Primary practice address
22101 Moross Rd Detroit MI 48236-2148
Phone: (313) 343-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 4704309721 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704309721NSA190D3 Michigan

Profile Details

NPI number 1104486877
LBN Legal business name Kalliantasis, Lauren Alexis
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2019
Last updated Oct 14th, 2019 - about 6 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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