Lis, Gail Ann

Lis, Gail Ann is an individual health care provider with primary practice located at 16010 19 Mile Rd Suite 101, Clinton Twp MI 48038-1141. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Lis, Gail Ann can be contacted via phone (586) 286-8674.

Contact Information

Primary practice address
16010 19 Mile Rd Suite 101 Clinton Twp MI 48038-1141
Phone: (586) 286-8674
Fax: (586) 286-5564
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 4704132475 Michigan

Profile Details

NPI number 1639235682
LBN Legal business name Lis, Gail Ann
Credentials APRN BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1639235682 NPPES
Michigan Other 50-0-86-6974-0 BCBSM

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