Individual
LISA G HEIDEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1450 S LAPEER, OXFORD, MI 48173
(248) 969-9320
Mailing address
1450 S LAPEER, OXFORD, MI 48173
(248) 969-9320
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704140714
MI
Other
Enumeration date
06/07/2007
Last updated
01/06/2010
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