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1215197926
LISA M CORAM
WEST BLOOMFIELD, MI
NPI
1215197926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: MI 5101020468)
Enumeration Date
2008-06-16
Last Update Date
2019-04-04
Business Address
LISA M CORAM DO
2300 HAGGERTY RD STE 2160
WEST BLOOMFIELD, MI 48323-2192
Phone number: 248-859-2457
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Mailing Address
LISA M CORAM DO
2300 HAGGERTY RD STE 2160
WEST BLOOMFIELD, MI 48323-2192
Phone number: 248-859-2457
Copy
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