NPI 1013149004
Laura Tollefson
Practice location
- Address
- 19401 Northline Rd, Southgate, MI 48195-2277
- Phone
- (734) 785-7718
- Mailing address
- 125 Poplar St, Wyandotte, MI 48192-4644
Registered specialties
Personal Care Attendant
Primary
Registry record
- NPI
- 1013149004
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 Aug 2009
- Record last updated
- 10 Aug 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.