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1972051019
LISA RYAN
EAST LANSING, MI
NPI
1972051019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601007877)
Enumeration Date
2016-09-19
Last Update Date
2016-09-19
Business Address
-- LISA RYAN
411 W LAKE LANSING RD STE C120
EAST LANSING, MI 48823-8483
Phone number: 517-337-0957
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Mailing Address
-- LISA RYAN
411 W LAKE LANSING RD STE C120
EAST LANSING, MI 48823-8483
Phone number: 517-337-0957
Copy
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