Individual
LISA COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-8274
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-8274
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
4704150172
MI
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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