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Mrs. Lora Jeanette Manders, MA,LLPC,CAADC,PAC
Physician Assistant in Tecumseh, Michigan
NPI 1194133082

Lora Jeanette Manders is a Physician Assistant based in Tecumseh, MI. Lora Jeanette Manders practices in Tecumseh, MI and has the professional credentials of MA,LLPC,CAADC,PAC. The NPI Number for Lora Jeanette Manders is 1194133082 and holds a License No. C-02189 (Michigan).

The current practice location address for Lora Jeanette Manders is 6869 S Occidental Rd, Tecumseh, MI and can be reached out via phone at 517-423-4777 and via fax at 517-423-7257.

Location: 6869 S Occidental Rd, Tecumseh, MI, 49286-9784
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194133082
Provider Name
Lora Jeanette Manders
Credential
MA,LLPC,CAADC,PAC
Provider Entity Type
Individual
Gender
Female
Address
6869 S Occidental Rd, Tecumseh, MI, 49286-9784
Phone Number
517-423-4777
Fax Number
517-423-7257
Provider Enumeration Date
07/24/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1194133082 05 MI
M35150147 01 MI MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
6869 S Occidental Rd
City
Tecumseh
State
Michigan
Zip
49286-9784
Phone Number
517-423-4777
Fax Number
517-423-7257
person
Provider Business Mailing Address Details
Address
6869 S Occidental Rd
City
Tecumseh
State
Michigan
Zip
49286-9784
Phone Number
517-423-4777
Fax Number
517-423-7257
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
5601008012 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6401010851 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
C-02189 (Michigan)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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