Individual
LISA WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20476 ORLEANS ST, DETROIT, MI 48203-1358
(313) 492-8142
(313) 892-4061
Mailing address
20476 ORLEANS ST, DETROIT, MI 48203-1358
(313) 492-8142
(313) 892-4061
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
L2516044
MI
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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