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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KEITH LAURAIN, MT

Active Sole Proprietor

MR. KEITH LAURAIN, MT is a Specialist healthcare provider located in BROCKWAY, Michigan. NPI 1275990921 is currently active in the NPPES registry. Verify at CMS.

Specialist · BROCKWAY, MI

Registration Details

NPI Number
1275990921
Provider Type
Individual
Gender
Male
NPI Issued
Jan 26, 2016 (10.364686130849 yrs)
Last Updated
Jan 26, 2016
License
7501005302 (MI)
Sole Proprietor
Yes

Practice Information

Address
11339 JEDDO RD
BROCKWAY, MI, 480972511
Browse MI providers · Browse ZIP 48097
Phone
5862141878
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.