Lisa Elias

NPI #1548610843 in Clinton Twp, Michigan

Provider Information

NPI Number: 1548610843
Entity Type: Individual
Name: Lisa Elias
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jun 16, 2016
Last Updated: Jun 16, 2016

Practice Location

Address: 39505 AYNESLEY ST
City: Clinton Twp
State: Michigan
ZIP Code: 48038-2723
Phone: (586) 329-8926

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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