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NPI Code Detail

MEDICARE: MS. LISA PALMIERI RN

MEDICARE: MS. LISA PALMIERI RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0808XPsychiatric/Mental Health Registered Nurse4704166963MI

General Provider Information

NPI Number : 1265553903
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LISA PALMIERI RN
Provider Business Mailing Address
First Line : 1786 SUPERIOR BLVD
Second Line :
City : WYANDOTTE
State : MI
Zip : 48192-4823
Country : US
Telephone Number : 734-771-3186
Fax Number :
Provider Business Practice Location Address
First Line : 26300 OUTER DR
Second Line :
City : LINCOLN PARK
State : MI
Zip : 48146-2019
Country : US
Telephone Number : 313-388-4630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2007
Last Update Date : 07/08/2007

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