Haston-Fuller, Lisa Renee
Haston-Fuller, Lisa Renee is an sole proprietor health care provider with primary practice located at 9315 Telegraph Rd , Redford MI 48239. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Haston-Fuller, Lisa Renee can be contacted via phone (313) 450-4500.Contact Information
Primary practice address
9315 Telegraph Rd
Redford MI 48239
Phone: (313) 450-4500
Fax: (313) 450-4514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 5101011198 | Michigan |
Profile Details
| NPI number | 1831298397 |
|---|---|
| LBN Legal business name | Haston-Fuller, Lisa Renee |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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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