LISA MARIE TYSON

ROYAL OAK, MI
NPI1790754844
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704165071)
Enumeration Date2006-03-14
Last Update Date2007-07-08
Business Address
-- LISA MARIE TYSON CRNA
3601 W. 13 MILE RD 400 FSC-PCS
ROYAL OAK, MI 48073-6769
Phone number: 248-423-2481
Mailing Address
-- LISA MARIE TYSON CRNA
3601 W. 13 MILE RD 400 FSC-PCS
ROYAL OAK, MI 48073-6769
Phone number: 248-423-2481
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