Individual
DR. LISA LANGENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
37399 GARFIELD RD, SUITE 203, CLINTON TWP, MI 48036-3659
(586) 228-3991
(586) 228-2901
Mailing address
37399 GARFIELD RD, SUITE 203, CLINTON TWP, MI 48036-3659
(586) 228-3991
(586) 228-2901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301070895
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4391055
—
MI
Enumeration date
07/12/2005
Last updated
07/29/2008
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