Individual
MS. LISA MARIE HANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN APRN WHNP-BC
Contact information
Practice address
5892 HIDDEN OAK AVE, RICHLAND, MI 49083-8214
(210) 710-1926
Mailing address
5892 HIDDEN OAK AVE, RICHLAND, MI 49083-8214
(210) 710-1926
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704398724
MI
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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