Provider Demographics
NPI:1447972112
Name:SWITZER, LISA MARIE
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:MARIE
Last Name:SWITZER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3361 E 12 MILE RD
Mailing Address - Street 2:
Mailing Address - City:DAFTER
Mailing Address - State:MI
Mailing Address - Zip Code:49724-9589
Mailing Address - Country:US
Mailing Address - Phone:906-379-8070
Mailing Address - Fax:
Practice Address - Street 1:3361 E 12 MILE RD
Practice Address - Street 2:
Practice Address - City:DAFTER
Practice Address - State:MI
Practice Address - Zip Code:49724-9589
Practice Address - Country:US
Practice Address - Phone:906-379-8070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172A00000XOther Service ProvidersDriver
No172V00000XOther Service ProvidersCommunity Health Worker