Individual
LISA HOUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3369 MILES RD, JACKSON, MI 49201-8707
(517) 962-4861
Mailing address
3369 MILES RD, JACKSON, MI 49201-8707
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704179931
MI
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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