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Lisa Mae Mackaluso, APRN,FNP-C
Family Nurse Practitioner in Port Huron, Michigan
NPI 1740852771

Lisa Mae Mackaluso is a Family Nurse Practitioner based in Port Huron, MI and is specialized in Family. Lisa Mae Mackaluso practices in Port Huron, MI and has the professional credentials of APRN,FNP-C. The NPI Number for Lisa Mae Mackaluso is 1740852771 and holds a License No. 4704252035 (Michigan).

The current practice location address for Lisa Mae Mackaluso is 2601 Electric Ave, Port Huron, MI and can be reached out via phone at 810-216-1500.

Location: 2601 Electric Ave, Port Huron, MI, 48060-6587
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740852771
Provider Name
Lisa Mae Mackaluso
Credential
APRN,FNP-C
Provider Entity Type
Individual
Gender
Female
Address
2601 Electric Ave, Port Huron, MI, 48060-6587
Phone Number
810-216-1500
Fax Number
Provider Enumeration Date
07/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2601 Electric Ave
City
Port Huron
State
Michigan
Zip
48060-6587
Phone Number
810-216-1500
Fax Number
person
Provider Business Mailing Address Details
Address
2601 Electric Ave
City
Port Huron
State
Michigan
Zip
48060-6587
Phone Number
810-216-1500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704252035 (Michigan)
Definition
Definition to come...
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