Individual
LISA L SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
324 5TH ST, CALUMET, MI 49913-1502
(906) 337-3436
Mailing address
324 5TH ST, CALUMET, MI 49913-1502
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704270877
MI
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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