Individual
LISA MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4350 JACKSON RD, SUITE 100, ANN ARBOR, MI 48103-1889
(734) 971-9344
(734) 971-2303
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704131370
MI
Other
Enumeration date
09/24/2006
Last updated
12/28/2016
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