Individual
LISA MARY STARKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22250 PROVIDENCE DR, STE #705, SOUTHFIELD, MI 48075-6215
(248) 552-9858
(248) 552-9510
Mailing address
22250 PROVIDENCE DR, STE #705, SOUTHFIELD, MI 48075-6215
(248) 552-9858
(248) 552-9510
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4704146061
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4648426
—
MI
01
—
7597565
AETNA PIN
—
Enumeration date
11/29/2005
Last updated
01/14/2011
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