Organization
LISA ANNE BRAWLEY PC
Active
Other names
Livonia Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA ANNE BRAWLEY M.D. (OWNER)
(734) 425-9551
Entity
Organization
Contact information
Practice address
16991 FARMINGTON RD, LIVONIA, MI 48154-2946
(734) 425-9551
(734) 425-9557
Mailing address
16991 FARMINGTON RD, LIVONIA, MI 48154-2946
(734) 425-9551
(734) 425-9557
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301057908
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104737070
—
MI
01
—
11-0-82-3654-2
BLUE CROSS
MI
Enumeration date
04/02/2008
Last updated
07/09/2008
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