Individual
LISA COLOMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Mailing address
40537 IRVAL DR, STERLING HEIGHTS, MI 48313-4025
(810) 748-7078
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704304298
MI
Other
Enumeration date
09/26/2020
Last updated
09/26/2020
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