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Lisa A Hicks
Licensed Practical Nurse in Livonia, Michigan
NPI 1154961209

Lisa A Hicks is a Licensed Practical Nurse based in Taylor, MI. Lisa A Hicks practices in Livonia, MI. The NPI Number for Lisa A Hicks is 1154961209 and holds a License No. 4703120442 (Michigan).

The current practice location address for Lisa A Hicks is 17177 N Laurel Park Dr Ste 417, Livonia, MI and can be reached out via phone at 888-414-7056.

Location: 17177 N Laurel Park Dr Ste 417, Livonia, MI, 48180-4157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154961209
Provider Name
Lisa A Hicks
Credential
Provider Entity Type
Individual
Gender
Female
Address
17177 N Laurel Park Dr Ste 417, Livonia, MI, 48180-4157
Phone Number
888-414-7056
Fax Number
Provider Enumeration Date
01/07/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
O435522029817 05 MI
institution
Provider Business Practice Location Address Details
Address
17177 N Laurel Park Dr Ste 417
City
Livonia
State
Michigan
Zip
48152-3952
Phone Number
888-414-7056
Fax Number
person
Provider Business Mailing Address Details
Address
17177 N Laurel Park Dr Ste 417
City
Livonia
State
Michigan
Zip
48152-3952
Phone Number
888-414-7056
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703120442 (Michigan)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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