Boros-Laurain, Lisa A

Boros-Laurain, Lisa A is an individual health care provider with primary practice located at 3133 S.Telegraph , Dearborn MI 48124. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Boros-Laurain, Lisa A can be contacted via phone (313) 565-6566.

Contact Information

Primary practice address
3133 S.Telegraph Dearborn MI 48124
Phone: (313) 565-6566
Fax: (313) 561-5554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601004322 Michigan

Profile Details

NPI number 1669636130
LBN Legal business name Boros-Laurain, Lisa A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2008
Last updated Jul 15th, 2008 - about 17 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 1669636130 NPPES
Michigan Other 5601004322 PHYSICIAN'S ASSISTANT LICENSE

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