Individual
MS. LISA D MICHAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
31815 SOUTHFIELD RD, STE 22, BEVERLY HILLS, MI 48025-5471
(248) 594-3142
(248) 594-3249
Mailing address
31815 SOUTHFIELD RD, STE 22, BEVERLY HILLS, MI 48025-5471
(248) 594-3142
(248) 594-3249
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704232028
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08669640
BCBSM
MI
01
—
453943
VALUE OPTIONS
MI
01
—
G42072
HAP
MI
Enumeration date
07/19/2006
Last updated
06/19/2013
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