Individual
MRS. LISA MARGARET SHAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 769-7100
Mailing address
36745 WEST FIVE MILE ROAD, LIVONIA, MI 48154-7502
(734) 655-2031
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704244227
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704244227
MI
Other
Enumeration date
06/10/2009
Last updated
04/23/2026
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