Mclean, Lisa Ruth

Mclean, Lisa Ruth is an individual health care provider with primary practice located at 17500 Federal Dr Ste 750 , Allen Park MI 48101-3656. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Mclean, Lisa Ruth can be contacted via phone (313) 982-1370.

Contact Information

Primary practice address
17500 Federal Dr Ste 750 Allen Park MI 48101-3656
Phone: (313) 982-1370
Fax: (313) 982-1376
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 5601008938 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA53731 California
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601008938 Michigan

Profile Details

NPI number 1114476140
LBN Legal business name Mclean, Lisa Ruth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2016
Last updated Apr 29th, 2021 - about 5 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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