Individual
DR. LISA B SPECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
32905 W 12 MILE RD, STE 400, FARMINGTON HILLS, MI 48334-3342
(248) 553-0335
(248) 553-8945
Mailing address
32905 W 12 MILE RD, STE 400, FARMINGTON HILLS, MI 48334-3342
(248) 553-0335
(248) 553-8945
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301039813
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1656809
—
MI
Enumeration date
10/31/2005
Last updated
12/03/2009
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