Favazza, Laura

Favazza, Laura is an individual health care provider with primary practice located at 2799 W Grand Blvd , Detroit MI 48202-2608. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Favazza, Laura can be contacted via phone (800) 653-6568.

Contact Information

Primary practice address
2799 W Grand Blvd Detroit MI 48202-2608
Phone: (800) 653-6568
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 5101020755 Michigan

Profile Details

NPI number 1336482934
LBN Legal business name Favazza, Laura
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2013
Last updated Jul 22nd, 2020 - 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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