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Organization

LISA PARKER COLORECTAL PLLC

Active
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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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