Provider Demographics
NPI:1245736230
Name:ROSINSKI, JULIANNE (LAC)
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:
Last Name:ROSINSKI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4060 SPRINGER WAY APT 124
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-8330
Mailing Address - Country:US
Mailing Address - Phone:517-525-7794
Mailing Address - Fax:517-659-6063
Practice Address - Street 1:4994 PARK LAKE RD
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-3836
Practice Address - Country:US
Practice Address - Phone:517-525-7794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-30
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5401000132171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist