LISA DIETZ, DO
Family Medicine
Active
Individual
NPI: 1629067541
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | LD011820 (MI) |
Frequently Asked Questions
NPI 1629067541 is the National Provider Identifier for LISA DIETZ, DO, a Family Medicine provider located in Clarkston, MI. This NPI was enumerated on October 14, 2005.
LISA DIETZ, DO practices at 6507 TOWN CENTER DR, SUITE A, Clarkston, MI 48346.
Quick Facts
- NPI
- 1629067541
- Type
- Individual
- Enumerated
- Oct 14, 2005
- Last Updated
- Feb 19, 2013
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