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Mariah Lee Grange, Au.D.

Audiologist in Lansing, MI. Individual provider (NPI-1).

NPI number1649983271
StatusActive
Last updated in NPPESJan 19, 2023

Details

NPI
1649983271
Entity type
Individual (NPI-1)
Name
Mariah Lee Grange
Credential
Au.D.
Sex
Female
Sole proprietor
No
Enumeration date
Dec 28, 2022
Certification date
Jan 19, 2023
Last updated
Jan 19, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
231H00000X Audiologist1601001091MIYes

Practice location

1200 E Michigan Ave Ste 330
Lansing, MI 48912-1894

Phone 517-364-5678

Mailing address

1200 E Michigan Ave Ste 330
Lansing, MI 48912-1894

Phone 517-364-5678

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