Individual
LISA L LEGERE-STRUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
400 HINCKLEY BLVD, SUITE 100, JACKSON, MI 49203-6125
(517) 784-0588
(517) 784-3866
Mailing address
PO BOX 67000, DEPARTMENT 272801, DETROIT, MI 48267-0002
(517) 841-6913
(517) 841-6917
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101013022
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080084532
RAILROAD MEDICARE
MI
01
—
0853800375
BLUE CROSS BLUE SHIELD
MI
05
—
115188133
—
MI
01
—
1678894
CIGNA HEALTHCARE
—
05
—
3257661
—
MI
Enumeration date
07/10/2006
Last updated
02/16/2021
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