Individual
DR. LISA RENEE REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20176 LIVERNOIS AVE, DETROIT, MI 48221-1346
(313) 864-3000
(313) 864-5423
Mailing address
20176 LIVERNOIS AVE, DETROIT, MI 48221-1346
(313) 864-3000
(313) 864-5423
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LR058110
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103147445
—
MI
Enumeration date
07/06/2006
Last updated
07/08/2007
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