Individual
DR. LISA MICHELLE TYRA SORANNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
18181 OAKWOOD BLVD, DEARBORN, MI 48124-5032
(313) 982-5159
(313) 982-5115
Mailing address
23635 STERLING PL, DEARBORN, MI 48124-1632
(313) 617-0649
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101015275
MI
Other
Enumeration date
03/18/2007
Last updated
07/08/2007
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