Individual
LIZA RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1500 SCOTTEN ST, DETROIT, MI 48209-2139
(313) 849-5504
(313) 849-5744
Mailing address
901 BERYL CT, ROCHESTER HILLS, MI 48307-3202
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704233473
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704233473
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4925016
—
MI
Enumeration date
01/09/2007
Last updated
05/01/2023
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