MEDICARE: MS. LISA MARIE SAIGH 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
1	163WC1500X	Community Health Registered Nurse	4704210389	MI

General Provider Information

NPI Number	:	1588246243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LISA MARIE SAIGH RN

Provider Business Mailing Address
First Line	:	58 PARSONS ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48201-2002
Country	:	US
Telephone Number	:	313-831-2520
Fax Number	:

Provider Business Practice Location Address
First Line	:	58 PARSONS ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48201-2002
Country	:	US
Telephone Number	:	313-788-7423
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2021
Last Update Date	:	04/23/2021

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