Individual
LISA MARBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3200 E EISENHOWER PKWY, ANN ARBOR, MI 48108-3231
(734) 677-0070
Mailing address
105 RUSSELL CT, YPSILANTI, MI 48198-5959
(734) 677-0070
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703121836
MI
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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