Raymond, Liza

Raymond, Liza is an individual health care provider with primary practice located at 1500 Scotten St , Detroit MI 48209-2139. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Raymond, Liza can be contacted via phone (313) 849-5504.

Contact Information

Primary practice address
1500 Scotten St Detroit MI 48209-2139
Phone: (313) 849-5504
Fax: (313) 849-5744
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704233473 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704233473 Michigan

Profile Details

NPI number 1508915562
LBN Legal business name Raymond, Liza
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated May 1st, 2023 - about 3 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 1508915562 NPPES
Michigan MEDICAID 4925016

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