Individual
MRS. LISA L VANHAVERBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16200 19 MILE RD, CLINTON TOWNSHIP, MI 48038-1103
(586) 212-1513
(586) 263-8731
Mailing address
33462 33 MILE RD, RICHMOND, MI 48062-4722
(586) 727-1433
(586) 263-8731
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704219136
MI
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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