Individual
MRS. LISA MARIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
528 BLOOMER RIDGE DR, ROCHESTER, MI 48307-2269
(586) 719-0783
Mailing address
528 BLOOMER RIDGE DR, ROCHESTER, MI 48307-2269
(586) 719-0783
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704250810
MI
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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