Individual
LISA GENENE HORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1201 E MICHIGAN AVE STE 200, JACKSON, MI 49201-1855
(517) 205-4841
Mailing address
1201 E MICHIGAN AVE STE 200, JACKSON, MI 49201-1855
(517) 205-4841
(517) 205-5956
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704168697
MI
Other
Enumeration date
09/12/2016
Last updated
12/28/2020
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