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Coreathea Avant

NPI 1558178814 · on the registry since 2024

Practice

Address
2718 Geert Ct
Lansing, MI 48910
Phone
(248) 802-5288
Clinicians at this address
2

Registry record

Primary taxonomy
101YS0200X
101YS0200X
Also registered as
101YM0800X
3747P1801X
376K00000X
376K00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan