Provider Demographics
NPI:1851568745
Name:ZOYIOUPOULOS, LAURIE
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:ZOYIOUPOULOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8295 18 MILE RD
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:MI
Mailing Address - Zip Code:49665-8084
Mailing Address - Country:US
Mailing Address - Phone:231-743-2483
Mailing Address - Fax:231-743-2958
Practice Address - Street 1:8295 18 MILE RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:MI
Practice Address - Zip Code:49665-8084
Practice Address - Country:US
Practice Address - Phone:231-743-2483
Practice Address - Fax:231-743-2958
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-11
Last Update Date:2008-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife