Colletti, Lisa M

Colletti, Lisa M is an individual health care provider with primary practice located at 1500 East Medical Center Dr 2Nd Floor Taubman Ctr Recp F, Ann Arbor MI 48109-5332. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Colletti, Lisa M can be contacted via phone (734) 936-5738.

Contact Information

Primary practice address
1500 East Medical Center Dr 2Nd Floor Taubman Ctr Recp F Ann Arbor MI 48109-5332
Phone: (734) 936-5738
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301050482 Michigan

Profile Details

NPI number 1467545384
LBN Legal business name Colletti, Lisa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Mar 1st, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467545384 NPPES
Michigan MEDICAID 2820561

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