Individual
MRS. LISA ANN MARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCC A
Contact information
Practice address
19991 HALL RD, STE 102, MACOMB TWP, MI 48044
(586) 263-4401
(586) 263-4402
Mailing address
15580 RIVERSIDE, LIVONIA, MI 48154
(734) 464-2595
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000196
MI
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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