Individual
LISA GRAVES PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38144 JOYCE CT, HARRISON TWP, MI 48045-3571
(503) 575-6263
Mailing address
27608 NICOLLE DR, HARRISON TOWNSHIP, MI 48045-5305
(586) 914-1120
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
0000000000000000
MI
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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