Lisa Anne Brawley PC
Family Medicine in Livonia, MI. Organization (NPI-2).
NPI number1114199841
StatusActive
Last updated in NPPESJul 9, 2008
Details
- NPI
- 1114199841
- Entity type
- Organization (NPI-2)
- Legal business name
- Lisa Anne Brawley PC
- Organization subpart
- No
- Enumeration date
- Apr 2, 2008
- Last updated
- Jul 9, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 4301057908 | MI | Yes |
Other names
- Livonia Family Medicine (Doing Business As)
Practice location
16991 Farmington RdLivonia, MI 48154-2946
Phone 734-425-9551 · Fax 734-425-9557
Mailing address
16991 Farmington RdLivonia, MI 48154-2946
Phone 734-425-9551 · Fax 734-425-9557
Authorized official
Lisa Anne Brawley
Owner
7344259551
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