Individual
LISA LEDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 E MEDICAL CENTER DR STE, 9TH FLOOR UNIVERSITY HOSPITAL RECP D, ANN ARBOR, MI 48109-5118
(734) 936-9760
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000217528
TN
363L00000X
Nurse Practitioner
Primary
4704336597
FM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704336597
MI
Other
Enumeration date
08/15/2017
Last updated
12/26/2018
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