Individual
LISA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15930 19 MILE RD, BUILDING 200, CLINTON TOWNSHIP, MI 48038-1155
(586) 464-0175
Mailing address
16200 19 MILE RD, CLINTON TOWNSHIP, MI 48038-1103
(586) 263-8700
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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