Individual
MRS. LISA ELLEN LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3150 ENTERPRISE DR, SAGINAW, MI 48603-2310
(989) 249-0929
Mailing address
3566 E IMRICH RD, MIDLAND, MI 48642-9775
(989) 859-8901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704313510
MI
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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