Individual
MRS. LISA MEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
E23970 POW WOW TRAIL, WATERSMEET, MI 49969
(906) 358-4587
(906) 358-4118
Mailing address
E23970 POW WOW TRAIL, WATERSMEET, MI 49969
(906) 358-4587
(906) 358-4118
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007437
MI
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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