Lisa Sprague M.D.

NPI 1053389593 - Pediatrics - 208000000X

NPI Details
NPI 1053389593
Gender Female
Enumeration Date 03/10/2006
Last Updated 11/02/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
49650 CHERRY HILL RD
SUITE 210
CANTON MI, 48187-4849, US
Phone (734) 398-7899
Fax (734) 398-7895
Business Location
24 FRANK LLOYD WRIGHT DR
PO BOX 0446 LOBBY J
ANN ARBOR MI, 48105-9484, US
Phone (734) 327-0872
Fax
Toxanomy
Taxonomy Code 208000000X
License State Michigan
License Number 4301071815
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According to our database, Dr. Lisa Sprague M.D. NPI is 1053389593, taxonomy code is 208000000X and license number is 4301071815, license state is located at Michigan. Lisa Sprague M.D. physically located at 49650 Cherry Hill Rd, Canton MI, 48187-4849. NPI Number Lisa Sprague M.D. has the Individual type.

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1053389593 NPI number is provided on an as is basis without warranty of any kind. 1053389593 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Sprague M.D. are for informational purposes only.