Dr. Lisa Michelle Tyra Soranno
Anesthesiologist
18181 Oakwood Blvd
Dearborn
, Michigan 48124-5032
Dr. Lisa Michelle Tyra Soranno
Anesthesiologist
18181 Oakwood Blvd
Dearborn
, Michigan 48124-5032
(313) 617-0649
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Dr. Lisa Michelle Tyra Soranno
- 23635 Sterling Pl
- Dearborn, MI
- Zip : 48124-1632
- Phone : (313) 617-0649
Second Address
- Dr. Lisa Michelle Tyra Soranno
- 18181 Oakwood Blvd
- Dearborn, MI
- Zip : 48124-5032
- Fax : (313) 982-5115
- Phone : (313) 982-5159
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | 5101015275 | MI |
National Provider Identifier
| NPI | 1013031905 |
|---|---|
| Provider Name | Dr. Lisa Michelle Tyra Soranno |
| First Address | Dearborn, MI 48124-1632 |
| Second Address | Dearborn, MI 48124-5032 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/03/2007 |
| Last Update Date | 08/07/2007 |
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.