Individual
LISA M AZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 985-8900
Mailing address
532 6TH ST, MARYSVILLE, MI 48040-2203
(810) 388-1200
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013349729
—
MI
Enumeration date
08/05/2013
Last updated
10/24/2013
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