Lisa De Rose, MD - Detroit, MI

Lisa De Rose, MD

Student in an Organized Health Care Education/Training Program in Detroit, Michigan

NPI 1457905689

Lisa De Rose is a Student in an Organized Health Care Education/Training Program based in Detroit, MI. Lisa De Rose practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Lisa De Rose is 1457905689 and holds a License No. (Michigan).

The current practice location address for Lisa De Rose is 22101 Moross Rd, Detroit, MI and can be reached out via phone at 313-699-0819.

Location: 22101 Moross Rd, Detroit, MI, 48236-2148

NPI Number

1457905689

Provider Name

Lisa De Rose

Credential

Provider Entity Type

Individual

Gender

Female

Address

22101 Moross Rd, Detroit, MI, 48236-2148

Phone Number

313-699-0819

Fax Number

Provider Enumeration Date

07/25/2019

Last Update Date

03/10/2024

Address

22101 Moross Rd

City

Detroit

State

Michigan

Zip

48236-2148

Phone Number

313-699-0819

Fax Number

Address

22101 Moross Rd

City

Detroit

State

Michigan

Zip

48236-2148

Phone Number

313-699-0819

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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