Individual
LISA LYNNE STABILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
560 W MITCHELL ST, SUIT M-40, PETOSKEY, MI 49770-2275
(231) 487-2391
(231) 487-6513
Mailing address
560 W MITCHELL ST, SUIT M-40, PETOSKEY, MI 49770-2275
(231) 487-2391
(231) 487-6513
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704239627
MI
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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