LISA KOTZEN

ROYAL OAK, MI
NPI1174845846
Former NameLISA JOHNIDES JOHNIDES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601005577)
Enumeration Date2010-02-23
Last Update Date2021-01-22
Business Address
LISA KOTZEN PA
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073-6710
Phone number: 855-863-8761
Mailing Address
LISA KOTZEN PA
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number:
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