Individual
LISA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 JOHNSON ST, ALPENA, MI 49707-1434
(989) 356-2161
(989) 354-5898
Mailing address
400 JOHNSON ST, ALPENA, MI 49707-1434
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704167858
MI
Other
Enumeration date
11/01/2016
Last updated
11/02/2016
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