Henderson, Lisa L

Henderson, Lisa L is an individual health care provider with primary practice located at 18100 Oakwood Blvd Suite 100, Dearborn MI 48124-4071. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Henderson, Lisa L can be contacted via phone (313) 253-2000.

Contact Information

Primary practice address
18100 Oakwood Blvd Suite 100 Dearborn MI 48124-4071
Phone: (313) 253-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301061318 Michigan

Profile Details

NPI number 1952348070
LBN Legal business name Henderson, Lisa L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jun 8th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952348070 NPPES
Michigan MEDICAID 4823320-10
Michigan Other 7050340

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