Individual
MRS. LISA ANN BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
27351 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3487
(248) 967-7807
(248) 967-0767
Mailing address
22142 GREGORY ST, DEARBORN, MI 48124-2750
(313) 769-5877
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704191012
MI
Other
Enumeration date
02/01/2012
Last updated
11/07/2024
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