Kraus, Lori

Kraus, Lori is an individual health care provider with primary practice located at 261 Mack Ave , Detroit MI 48201. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Kraus, Lori can be contacted via phone (313) 745-1100.

Contact Information

Primary practice address
261 Mack Ave Detroit MI 48201
Phone: (313) 745-1100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 5501010549 Michigan

Profile Details

NPI number 1417329483
LBN Legal business name Kraus, Lori
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2015
Last updated Jun 7th, 2018 - about 7 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 1417329483 NPPES
Michigan MEDICAID 1871805150

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