Individual
DR. LISA SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
49650 CHERRY HILL RD, SUITE 210, CANTON, MI 48187-4849
(734) 398-7899
(734) 398-7895
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484
(734) 327-0872
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301071815
MI
Other
Enumeration date
03/10/2006
Last updated
11/02/2011
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