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Individual

DR. LISA L FRANSEEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
3180 RACQUET CLUB DR, STE G, TRAVERSE CITY, MI 49684-4797
(231) 409-0136
(231) 933-4032
Mailing address
3180 RACQUET CLUB DR, STE G, TRAVERSE CITY, MI 49684-4797
(231) 409-0136
(231) 933-4032

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012824
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
68-0-B8-1360-0
BLUE CROSS IDENTIFICATION NUMBER
MI
01
MI2545
MEDICARE PTAN
MI
Enumeration date
09/17/2006
Last updated
11/23/2011
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