Individual
LISA CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5301 E HURON RIVER DR STE C-139, YPSILANTI, MI 48197-1051
(734) 712-1000
(734) 712-1012
Mailing address
24 FRANK LLOYD WRIGHT DR LBBY J2000, ANN ARBOR, MI 48105-9484
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704221760
MI
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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