Individual
LISA KAY MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 E TINKHAM AVE, LUDINGTON, MI 49431-2728
(231) 206-5121
Mailing address
1100 E TINKHAM AVE, LUDINGTON, MI 49431-2728
(231) 206-5121
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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