Individual
LISA A HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
217 S MADISON STREET, TRAVERSE CITY, MI 49684-2320
(231) 392-8400
(231) 935-7888
Mailing address
2513 MOMENTUM PL, CHICAGO, IL 60689-5325
(231) 935-6080
(231) 935-6081
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
011303
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115800635
RR MEDICARE
MI
05
—
3363824
—
MI
01
—
6408244
CIGNA
MI
01
—
LH011303
BLUE CROSS LICENSE STATE
MI
Enumeration date
03/03/2006
Last updated
03/16/2021
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