Individual
MRS. LISA MARIE SOVIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(866) 501-3627
Mailing address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(866) 501-3627
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601005256
MI
Other
Enumeration date
06/13/2008
Last updated
10/09/2025
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