Organization
LISA PARKER COLORECTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE THOMPSON (BILLING)
(586) 751-6034
Entity
Organization
Contact information
Practice address
22250 PROVIDENCE DR STE 606, SOUTHFIELD, MI 48075-6214
(248) 557-9650
Mailing address
22250 PROVIDENCE DR STE 606, SOUTHFIELD, MI 48075-6214
(248) 557-9650
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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