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NPI Code Detail

MEDICARE: MISS LISA JEAN PRICE

MEDICARE: MISS LISA JEAN PRICE
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
1247200000XOther Technician

General Provider Information

NPI Number : 1568437358
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LISA JEAN PRICE
Provider Business Mailing Address
First Line : 207 N OAK ST
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-2242
Country : US
Telephone Number : 231-922-8282
Fax Number : 231-922-8292
Provider Business Practice Location Address
First Line : 1175 AIRPORT ACCESS RD
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49686-3513
Country : US
Telephone Number : 231-922-8282
Fax Number : 231-922-8292
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1275508665 — MR. ANTHONY WAYNE OLDHAM
Practice Location Address:
1175 AIRPORT ACCESS RD
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Practice Phone: 231-922-8282
Practice Fax: 231-922-8292
1477528768 — MISS CRYSTAL MARIE SYNKIEW
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Practice Fax:
1952376212 — ADRIANO OLIVEIRA SILVA
Practice Location Address:
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Practice Fax:
1184699456 — MRS. ELVIRA F LOMBARDO
Practice Location Address:
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1265407191 — MR. MATTHEW TODD BENTON CORPSMAN
Practice Location Address:
1175 AIRPORT ACCESS RD
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49686-3513
Practice Phone: 231-922-8282
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1760415137 — AIRSTATION TRAVERSE CITY
Practice Location Address:
1175 AIRPORT ACCESS RD , FLIGHT MED CLINIC
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Practice Phone: 231-922-8282
Practice Fax: 231-922-8292

Directions to “ MISS LISA JEAN PRICE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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