Individual
LISA MARIE BALLERINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
653 SOUTHSHORE DR, OXFORD, MI 48371-3558
(248) 980-5266
Mailing address
653 SOUTHSHORE DR, OXFORD, MI 48371-3558
(248) 980-5266
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704250603
MI
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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