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General NPI Number Information
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NPI Number | 1760416002
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Entity Type | Organization
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Legal Business Name | LISA A. MEILS, M.D.,P.C.
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 155 ROCHDALE DR S STE A
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-2276
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Country | US
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Telephone | 248-608-0360
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Fax | 248-608-0362
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Provider Business Mailing Address
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Address Line | 155 ROCHDALE DR S STE A
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-2276
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Country | US
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Telephone | 248-608-0360
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Fax | 248-608-0362
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Authorized Official
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Title or Position | MANAGER
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Name | MS. MARJORIE MONTNEY
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Credential |
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Telephone | 248-608-0360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 4301051255
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License Number State | MI
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