Individual
LISA K BARANCIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
8958 M 50, ONSTED, MI 49265-9461
(517) 467-4424
(517) 467-2226
Mailing address
PO BOX 67000, DEPT 272801, DETROIT, MI 48267-2728
(517) 841-7490
(517) 841-6913
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004295
MI
Other
Enumeration date
06/23/2006
Last updated
06/01/2011
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