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Individual

LISA ANN DUNLAP KRIEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1206 RICHARDSON ST, PORT HURON, MI 48060-3549
(810) 984-4340
(810) 984-2303
Mailing address
1206 RICHARDSON ST, PORT HURON, MI 48060-3549
(810) 984-4340
(810) 984-2303

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008718
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1912493867
MI
Enumeration date
07/03/2018
Last updated
01/20/2023
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