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Individual

MS. LISA F. BERARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4545 JOHN R ST, DETROIT, MI 48201-1913
(313) 576-3310
(313) 576-1122
Mailing address
24486 SUMMER LN, FLAT ROCK, MI 48134-1835
(734) 782-9417
(734) 782-9417

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704237033
MI
163WE0003X
Emergency Registered Nurse
26NN07581200
NJ
171000000X
Military Health Care Provider
4704237033
MI
363LF0000X
Family Nurse Practitioner
26NN07581200
NJ
363LF0000X
Family Nurse Practitioner
Primary
4704237033
MI

Other

Enumeration date
02/27/2006
Last updated
08/14/2007
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