LISA HYDORN

NOVI, MI
NPI1598238172
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704289100)
Enumeration Date2019-01-07
Last Update Date2019-01-07
Business Address
LISA HYDORN
47601 GRAND RIVER AVE
NOVI, MI 48374-1233
Phone number: 248-465-4249
Mailing Address
LISA HYDORN
30400 TELEGRAPH RD STE 405
BINGHAM FARMS, MI 48025-5817
Phone number: