Individual
LISA ELLEN FOLLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
965 S BAILEY AVE, SOUTH HAVEN, MI 49090-6743
(269) 639-2788
(269) 639-2872
Mailing address
965 S BAILEY AVE, SOUTH HAVEN, MI 49090-6743
(269) 639-2788
(269) 639-2872
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704137396
MI
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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