Speck, Lisa B
Speck, Lisa B is an sole proprietor health care provider with primary practice located at 32905 W 12 Mile Rd Ste 400, Farmington Hills MI 48334-3342. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Speck, Lisa B can be contacted via phone (248) 553-0335.Contact Information
Primary practice address
32905 W 12 Mile Rd Ste 400
Farmington Hills MI 48334-3342
Phone: (248) 553-0335
Fax: (248) 553-8945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301039813 | Michigan |
Profile Details
| NPI number | 1528059540 |
|---|---|
| LBN Legal business name | Speck, Lisa B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Dec 3rd, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528059540 | NPPES |
| Michigan | MEDICAID | 1656809 |
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