Individual
LISSA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP
Contact information
Practice address
2318 GULL RD STE A, KALAMAZOO, MI 49048-3619
(269) 345-1117
Mailing address
2318 GULL RD STE A, KALAMAZOO, MI 49048-3619
(269) 345-1117
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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