Individual
LISA MARIE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 N GROESBECK HWY, MOUNT CLEMENS, MI 48043-1562
(586) 217-5899
Mailing address
175 N GROESBECK HWY, MOUNT CLEMENS, MI 48043-1562
(810) 744-1306
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704329279
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704329279
MI
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
4704329279
MI
Other
Enumeration date
07/05/2023
Last updated
02/16/2026
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