Herbert, Lisa M

Herbert, Lisa M is an individual health care provider with primary practice located at 4100 S River Rd , East China MI 48054-2909. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Herbert, Lisa M can be contacted via phone (810) 329-5385.

Contact Information

Primary practice address
4100 S River Rd East China MI 48054-2909
Fax:
Website:

Profile Details

NPI number 1912461229
LBN Legal business name Herbert, Lisa M
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2019
Last updated Jan 31st, 2019 - about 6 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 1912461229 NPPES
Michigan MEDICAID 1619941333

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