Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 6301018006 | MI |
Y | 103T00000X | Psychologist | 6301018006 | MI |
NPI | 1003157520 |
---|---|
Provider Name | Ms. Lauren Ann Lay |
First Address | Flint, MI 48506-4054 |
Second Address | Fenton, MI 48430-2093 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2013 |
Last Update Date | 29/08/2019 |