Individual
LISA BOHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7001 ORCHARD LAKE RD, 200, WEST BLOOMFIELD, MI 48322-3604
(248) 538-7400
(248) 538-7403
Mailing address
6689 ORCHARD LAKE RD # 297, CHILDRENS EYE CARE PC, WEST BLOOMFIELD, MI 48322-3404
(248) 254-8140
(248) 254-8150
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301070213
MI
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
4301070213
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4435937
—
MI
Enumeration date
04/11/2006
Last updated
05/23/2024
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