Michaux, Lisa D

Michaux, Lisa D is an individual health care provider with primary practice located at 31815 Southfield Rd Ste 22, Beverly Hills MI 48025-5471. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Michaux, Lisa D can be contacted via phone (248) 594-3142.

Contact Information

Primary practice address
31815 Southfield Rd Ste 22 Beverly Hills MI 48025-5471
Phone: (248) 594-3142
Fax: (248) 594-3249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704232028 Michigan

Profile Details

NPI number 1639199219
LBN Legal business name Michaux, Lisa D
Credentials APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jun 19th, 2013 - about 11 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 1639199219 NPPES
Michigan Other 08669640 BCBSM
Michigan Other 453943 BCBSM
Michigan Other G42072 BCBSM

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