location
search-icon
person
Ms. Lisa Renee Sullivan, PA-C
Medical Physician Assistant in Belleville, Michigan
NPI 1811205750

Lisa Renee Sullivan is a Medical Physician Assistant based in Belleville, MI and is specialized in Medical. Lisa Renee Sullivan practices in Belleville, MI and has the professional credentials of PA-C. The NPI Number for Lisa Renee Sullivan is 1811205750 and holds a License No. 5601005958 (Michigan).

The current practice location address for Lisa Renee Sullivan is 44305 Harmony Ln, Belleville, MI and can be reached out via phone at 734-716-5588.

Location: 44305 Harmony Ln, Belleville, MI, 48111-2449
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811205750
Provider Name
Lisa Renee Sullivan
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
44305 Harmony Ln, Belleville, MI, 48111-2449
Phone Number
734-716-5588
Fax Number
Provider Enumeration Date
09/14/2010
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
5601005958 01 MI STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
44305 Harmony Ln
City
Belleville
State
Michigan
Zip
48111-2449
Phone Number
734-716-5588
Fax Number
person
Provider Business Mailing Address Details
Address
44305 Harmony Ln
City
Belleville
State
Michigan
Zip
48111-2449
Phone Number
734-716-5588
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
5601005958 (Michigan)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.