Yacoub, Lisa

Yacoub, Lisa is an individual health care provider with primary practice located at 26000 Hoover Rd Suite 103, Warren MI 48089-1167. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Yacoub, Lisa can be contacted via phone (586) 427-1351.

Contact Information

Primary practice address
26000 Hoover Rd Suite 103 Warren MI 48089-1167
Phone: (586) 427-1351
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704240796 Michigan

Profile Details

NPI number 1588931059
LBN Legal business name Yacoub, Lisa
Credentials N.P-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2011
Last updated Nov 28th, 2011 - about 13 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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