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1013031905
LISA MICHELLE TYRA SORANNO
DEARBORN, MI
NPI
1013031905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MI 5101015275)
Enumeration Date
2007-03-18
Last Update Date
2007-07-08
Business Address
Dr. LISA MICHELLE TYRA SORANNO D.O.
18181 OAKWOOD BLVD
DEARBORN, MI 48124-5032
Phone number: 313-982-5159
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Mailing Address
Dr. LISA MICHELLE TYRA SORANNO D.O.
23635 STERLING PL
DEARBORN, MI 48124-1632
Phone number: 313-617-0649
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