LISA RENEE HASTON-FULLER

REDFORD, MI
NPI1831298397
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MI  5101011198)
Enumeration Date2006-09-21
Last Update Date2023-03-07
Business Address
Dr. LISA RENEE HASTON-FULLER DO
9315 TELEGRAPH RD
REDFORD, MI 48239
Phone number: 313-450-4500
Mailing Address
Dr. LISA RENEE HASTON-FULLER DO
PO BOX 401259
REDFORD, MI 48240-9259
Phone number: 248-557-4999
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