Individual
LISA MARIE HACHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4201 SAINT ANTOINE ST, SUITE 4E&F, DETROIT, MI 48201-2153
(313) 745-4380
(313) 993-0692
Mailing address
5800 MONROE ST, SUITE 8E, SYLVANIA, OH 43560-2263
(419) 517-1380
(419) 517-1381
Taxonomy
Speciality
Code
Description
License number
State
364SW0102X
Women's Health Clinical Nurse Specialist
Primary
NM05428
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2474639
—
OH
Enumeration date
06/05/2008
Last updated
07/08/2008
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