MS. Carol L Maddox
NPI #1518218932 in East Lansing, Michigan
Provider Information
- NPI Number
- 1518218932
- Entity Type
- Individual
- Name
- MS. Carol L Maddox
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist
- Enumeration Date
- Sep 25, 2012
- Last Updated
- Sep 25, 2012
Practice Location
- Address
- 2775 E LANSING DR
- City
- East Lansing
- State
- Michigan
- ZIP Code
- 48823-7755
- Phone
- (517) 332-1616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist |
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