Individual
DR. LISA L GUYOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
841 HEALTH PARK BOULEVARD, GRAND BLANC, MI 48439-7383
(810) 606-7340
(810) 606-7770
Mailing address
841 HEALTH PARK BOULEVARD, GRAND BLANC, MI 48439-7383
(810) 606-7340
(810) 606-7770
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
LG063620
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0992728
HEALTH PLUS
MI
01
—
1402510642
BLUE CROSS BLUE SHIELD
MI
05
—
4568737
—
MI
01
—
P00090552
RAILROAD MEDICARE
GA
Enumeration date
02/22/2006
Last updated
09/15/2012
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