Individual
LISA CARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22151 MOROSS RD STE 214, DETROIT, MI 48236-2151
(313) 343-4867
(313) 343-3280
Mailing address
22151 MOROSS RD STE 214, DETROIT, MI 48236-2151
(313) 343-4867
(313) 343-3280
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4351046492
MI
Other
Enumeration date
04/20/2020
Last updated
06/22/2020
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