Lisa Parker Colorectal PLLC
Colon & Rectal Surgery in Southfield, MI. Organization (NPI-2).
NPI number1659051522
StatusActive
Last updated in NPPESJul 24, 2023
Details
- NPI
- 1659051522
- Entity type
- Organization (NPI-2)
- Legal business name
- Lisa Parker Colorectal PLLC
- Organization subpart
- No
- Enumeration date
- Jul 24, 2023
- Certification date
- Jul 24, 2023
- Last updated
- Jul 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208C00000X | Colon & Rectal Surgery | – | – | Yes |
Practice location
22250 Providence Dr Ste 606Southfield, MI 48075-6214
Phone 248-557-9650
Mailing address
22250 Providence Dr Ste 606Southfield, MI 48075-6214
Phone 248-557-9650
Authorized official
Renee Thompson
Billing
5867516034
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