Search › Michigan › 363L00000X
Lisa Provenzano, N.P
NPI 1609051135 · on the registry since 2008
Practice
- Address
- 359 Enterprise Ct Spc B
Bloomfield Hills, MI 48302 - Phone
- (248) 751-7246
- Fax
- (248) 418-2311
- Organisation at this address
- Neuro Pain Consultants Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan