Individual
MS. LISA DENISE SOWELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
306 TOWN CENTER DR, TROY, MI 48084-1742
(248) 720-0277
(248) 720-0276
Mailing address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 464-0887
(734) 402-0254
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601001985
MI
Other
Enumeration date
03/09/2007
Last updated
09/15/2015
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