Individual
DR. LISA O'NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
33611 WARREN RD, WESTLAND, MI 48185-2787
(734) 641-8900
(734) 641-8970
Mailing address
33611 WARREN RD, WESTLAND, MI 48185-2787
(734) 641-8900
(734) 641-8970
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101008960
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0158202565
BCN IND
MI
01
—
110236362
RAILROAD MEDICARE IND PIN
MI
05
—
1437252749
—
MI
01
—
5231112
AETNA
MI
01
—
F03778
HAP
MI
Enumeration date
09/06/2006
Last updated
06/08/2011
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