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Individual

DR. LISA MARIE COUGHLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5640 N ADRIAN HWY # C, ADRIAN, MI 49221-8318
(517) 577-0283
(517) 577-0536
Mailing address
5640 N ADRIAN HWY # C, ADRIAN, MI 49221-8318

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35-120363
OH
208600000X
Surgery Physician
Primary
4301506904
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0084903
OH
Enumeration date
03/21/2011
Last updated
11/04/2025
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