Organization
LISAS ADVANCED PRACTICE PRIMARY CARE STAFFING CORP
Active
Other names
Advanced Practice Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
LISA JANELLE WOLSKE NP (CEO)
(269) 252-1394
Entity
Organization
Contact information
Practice address
756 PIPESTONE ST, BENTON HARBOR, MI 49022-4845
(269) 926-8535
Mailing address
756 PIPESTONE ST STE 3, BENTON HARBOR, MI 49022-4845
(747) 100-6425
(833) 906-2589
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
12/22/2021
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