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Individual

LISA A HARRIS SPINNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1500 E MEDICAL CENTER DR, 1ST FLOOR TAUBMAN CENTER RECP E, ANN ARBOR, MI 48109-5384
(734) 763-6295
Mailing address
3621 S STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704254031
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4930894
MI
Enumeration date
02/01/2006
Last updated
03/19/2012
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