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Lisa Ann Bradley
Family Nurse Practitioner in Leslie, Michigan
NPI 1417620741

Lisa Ann Bradley is a Family Nurse Practitioner based in Leslie, MI and is specialized in Family. Lisa Ann Bradley practices in Leslie, MI. The NPI Number for Lisa Ann Bradley is 1417620741 and holds a License No. 4704297194 (Michigan).

The current practice location address for Lisa Ann Bradley is 130 N Sherman St, Leslie, MI and can be reached out via phone at 517-205-2500.

Location: 130 N Sherman St, Leslie, MI, 49251-9409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417620741
Provider Name
Lisa Ann Bradley
Credential
Provider Entity Type
Individual
Gender
Female
Address
130 N Sherman St, Leslie, MI, 49251-9409
Phone Number
517-205-2500
Fax Number
Provider Enumeration Date
08/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
130 N Sherman St
City
Leslie
State
Michigan
Zip
49251-9409
Phone Number
517-205-2500
Fax Number
person
Provider Business Mailing Address Details
Address
130 N Sherman St
City
Leslie
State
Michigan
Zip
49251-9409
Phone Number
517-205-2500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704297194 (Michigan)
Definition
Definition to come...
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