Individual
MISS LISA MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
47601 GRAND RIVER AVE, NOVI, MI 48374-1233
(248) 465-3180
(248) 465-3181
Mailing address
18820 FOX, REDFORD, MI 48240-1965
(734) 754-1712
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
4704223899
MI
Other
Enumeration date
04/02/2007
Last updated
01/16/2009
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