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Individual

LISA HUNTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
15722 BIRWOOD ST, DETROIT, MI 48238-1029
(313) 269-0323
Mailing address
15722 BIRWOOD ST, DETROIT, MI 48238-1029

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703123142
MI

Other

Enumeration date
07/31/2025
Last updated
07/31/2025
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