MARISSA LIGHTBOURNE

DETROIT, MI
NPI1811218233
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  4301096541)
Additional Taxonomies208000000X Pediatrics
(Licence: MI  4301096541)
Enumeration Date2010-06-21
Last Update Date2010-06-21
Business Address
-- MARISSA LIGHTBOURNE MD
50 E CANFIELD ST
DETROIT, MI 48201-1804
Phone number: 313-745-6960
Mailing Address
-- MARISSA LIGHTBOURNE MD
4201 SAINT ANTOINE ST UHC 5C
DETROIT, MI 48201-2153
Phone number: 313-577-4342