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LISA PROVENZANO, N.P.
N.P.
Nurse Practitioner
NPI: 1609051135IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
4704150069(MI)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 1990
Contact & Hours
- Address
- 359 ENTERPRISE CT SPC B
BLOOMFIELD HILLS, MI 48302 - Phone
- (248) 751-7246
Quick Facts
- NPI
- 1609051135
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 36
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