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1336177674
LISA ANN DESTEFANO
EAST LANSING, MI
NPI
1336177674
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Former Name
LISA ANN VREDEVOOGD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
204D00000X Neuromusculoskeletal Medicine & OMM
(Licence: MI 5101012158)
Enumeration Date
2006-06-28
Last Update Date
2023-06-29
Business Address
Dr. LISA ANN DESTEFANO D.O
4660 S HAGADORN RD STE 500
EAST LANSING, MI 48823-6804
Phone number: 517-432-6144
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Mailing Address
Dr. LISA ANN DESTEFANO D.O
804 SERVICE RD STE A109B
EAST LANSING, MI 48824-7015
Phone number: 517-432-6144
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