LISA PETERSON

MUSKEGON, MI
NPI1144538133
Former NameLISA TOVEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601005897)
Enumeration Date2010-09-23
Last Update Date2011-02-24
Business Address
-- LISA PETERSON PA-C
1500 E SHERMAN BLVD
MUSKEGON, MI 49444-1849
Phone number: 231-739-9341
Mailing Address
-- LISA PETERSON PA-C
PO BOX 673397
DETROIT, MI 48267-3397
Phone number:
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