Individual
LISA TRYEE - LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
217 SAWYER ST, GRAND BLANC, MI 48439-1344
(810) 287-7888
Mailing address
217 SAWYER ST, GRAND BLANC, MI 48439-1344
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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