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Organization

LISA L GUYOT MD PHD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LISA LEE GUYOT MD PHD (NEUROSURGEON)
(810) 606-7340
Entity
Organization

Contact information

Practice address
3642 GENESYS PKWY, GRAND BLANC, MI 48439-8070
(810) 606-7340
(810) 606-7770
Mailing address
841 HEALTH PARK BOULEVARD, GRAND BLANC, MI 48439-8070
(810) 606-7340
(810) 606-7770

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LG063620
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0992728
HEALTH PLUS
MI
01
1402510642
BLUE CROSS BLUE SHIELD
MI
05
4568737
MI
Enumeration date
05/16/2007
Last updated
03/24/2010
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