Individual
LISA MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
461 W HURON ST FL 4, PONTIAC, MI 48341-1601
(586) 229-7812
(231) 241-1109
Mailing address
2301 S HURON PKWY STE 1D, ANN ARBOR, MI 48104-5133
(586) 229-7812
(231) 241-1109
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704178303
MI
363LA2200X
Adult Health Nurse Practitioner
4704178303
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700061231
1700061231
MI
Enumeration date
01/03/2008
Last updated
06/16/2018
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