Paulun, Lisa Marie

Paulun, Lisa Marie is an individual health care provider with primary practice located at 3601 W 13 Mile Rd Fsc, Royal Oak MI 48073-6712. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Paulun, Lisa Marie can be contacted via phone (248) 423-2454.

Contact Information

Primary practice address
3601 W 13 Mile Rd Fsc Royal Oak MI 48073-6712
Phone: (248) 423-2454
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 4704164717 Michigan

Profile Details

NPI number 1811913684
LBN Legal business name Paulun, Lisa Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jul 8th, 2007 - about 19 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 1811913684 NPPES
Michigan Other 500F31819 BCBSM

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