Dr. Lisa Ann Destefano
Neuromusculoskeletal Medicine (NMM)
4660 S Hagadorn Rd Suite 500
East Lansing
, Michigan 48823-5376
Dr. Lisa Ann Destefano
Neuromusculoskeletal Medicine (NMM)
4660 S Hagadorn Rd Suite 500
East Lansing
, Michigan 48823-5376
(517) 432-3928
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Dr. Lisa Ann Destefano
- 804 Service Rd Ste A109b
- East Lansing, MI
- Zip : 48824-7015
- Fax : (517) 432-3928
- Phone : (517) 884-2976
Second Address
- Dr. Lisa Ann Destefano
- 4660 S Hagadorn Rd Suite 500
- East Lansing, MI
- Zip : 48823-5376
- Fax : (517) 432-6150
- Phone : (517) 432-6144
Reviews
FAQs
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Is Dr. Lisa Ann Destefano a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 5101012158 | MI |
National Provider Identifier
| NPI | 1336177674 |
|---|---|
| Provider Name | Dr. Lisa Ann Destefano |
| First Address | East Lansing, MI 48824-7015 |
| Second Address | East Lansing, MI 48823-5376 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2006 |
| Last Update Date | 07/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3346153 | (05) | MI |
| G52748 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.