Woodruff, Lisa Rae

Woodruff, Lisa Rae is an individual health care provider with primary practice located at 200 Michigan Ave W Ste 103 , Battle Creek MI 49017-3632. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Woodruff, Lisa Rae can be contacted via phone (269) 598-7488.

Contact Information

Primary practice address
200 Michigan Ave W Ste 103 Battle Creek MI 49017-3632
Phone: (269) 598-7488
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704253495 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 185256 Alaska

Profile Details

NPI number 1346510252
LBN Legal business name Woodruff, Lisa Rae
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2012
Last updated Apr 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346510252 NPPES
Michigan Other 1801818752 BCBSM - BRONSON LAKEVIEW BEHAVIORAL MEDICINE
Michigan MEDICAID 1346510252 BCBSM - BRONSON LAKEVIEW BEHAVIORAL MEDICINE

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