Individual
LISA BOURCIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16440 GRATIOT RD, HEMLOCK, MI 48626-8655
(989) 583-0660
(989) 583-0669
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704147440
MI
Other
Enumeration date
01/09/2007
Last updated
03/03/2016
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