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Lisa Marie Paulun, NP
Pediatric Nurse Practitioner in Royal Oak, Michigan
NPI 1811913684

Lisa Marie Paulun is a Pediatric Nurse Practitioner based in Royal Oak, MI and is specialized in Pediatrics. Lisa Marie Paulun practices in Royal Oak, MI and has the professional credentials of NP. The NPI Number for Lisa Marie Paulun is 1811913684 and holds a License No. 4704164717 (Michigan).

The current practice location address for Lisa Marie Paulun is 3601 W 13 Mile Rd, Royal Oak, MI and can be reached out via phone at 248-423-2454.

Location: 3601 W 13 Mile Rd, Royal Oak, MI, 48073-6712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811913684
Provider Name
Lisa Marie Paulun
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3601 W 13 Mile Rd, Royal Oak, MI, 48073-6712
Phone Number
248-423-2454
Fax Number
Provider Enumeration Date
07/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500F31819 01 MI BCBSM
institution
Provider Business Practice Location Address Details
Address
3601 W 13 Mile Rd
City
Royal Oak
State
Michigan
Zip
48073-6712
Phone Number
248-423-2454
Fax Number
person
Provider Business Mailing Address Details
Address
3601 W 13 Mile Rd
City
Royal Oak
State
Michigan
Zip
48073-6712
Phone Number
248-423-2454
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
4704164717 (Michigan)
Definition
Definition to come...
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