Individual
MS. LISA RENEE HUSARICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3665 BAY RD, SAGINAW, MI 48603-2445
(989) 780-5626
Mailing address
3665 BAY RD, SAGINAW, MI 48603-2445
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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