Provider Demographics
NPI:1093858359
Name:RANSFORD, LAINEY MICHELLE-TAIT (PA (ASCP))
Entity Type:Individual
Prefix:MRS
First Name:LAINEY
Middle Name:MICHELLE-TAIT
Last Name:RANSFORD
Suffix:
Gender:F
Credentials:PA (ASCP)
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:692 W BURNSIDE ST
Mailing Address - Street 2:
Mailing Address - City:CARO
Mailing Address - State:MI
Mailing Address - Zip Code:48723-1421
Mailing Address - Country:US
Mailing Address - Phone:989-672-2363
Mailing Address - Fax:
Practice Address - Street 1:1900 COLUMBUS AVE
Practice Address - Street 2:LABORATORY PATHOLOGY
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-6831
Practice Address - Country:US
Practice Address - Phone:989-894-3703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical