Land, Lorraine Mavis

Land, Lorraine Mavis is an individual health care provider with primary practice located at 500 Osborn Blvd , Sault Sainte Marie MI 49783-1822. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Land, Lorraine Mavis can be contacted via phone (906) 635-4460.

Contact Information

Primary practice address
500 Osborn Blvd Sault Sainte Marie MI 49783-1822
Phone: (906) 635-4460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704213227 Michigan

Profile Details

NPI number 1518471549
LBN Legal business name Land, Lorraine Mavis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2017
Last updated Jun 6th, 2023 - about 2 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 1518471549 NPPES
Michigan Other 4704213227 MICHIGAN LICENSE

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