Individual
LISA KOTERBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2850 S INDUSTRIAL HWY, SUITE 75, ANN ARBOR, MI 48104-6796
(734) 477-7204
Mailing address
744 KINGSLEY DR, WIXOM, MI 48393-4514
(734) 751-4320
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704263795
MI
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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