Organization
CHILDREN'S HEALTH AND THERAPY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA ANN WHITE M.D. (OWNER)
(517) 268-6627
Entity
Organization
Contact information
Practice address
4801 WILLOUGHBY RD, SUITE #3, HOLT, MI 48842-1000
(517) 268-6627
(517) 268-6628
Mailing address
4801 WILLOUGHBY RD, SUITE #3, HOLT, MI 48842-1000
(517) 268-6627
(517) 268-6628
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301063424
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4970817
—
MI
Enumeration date
05/04/2008
Last updated
05/04/2008
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