LISA ANNE BRAWLEY PC
Marriage and Family Therapists at Farmington Rd, Livonia, MI

License number
Michigan 4301057908
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. LISA ANNE BRAWLEY M.D.
Title: OWNER
Phone: (734) 425-9551
Address
Address
16991 Farmington Rd, Livonia, MI 48154
National Provider ID: 1114199841
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LISA ANNE BRAWLEY, PC

Livonia, MI

Status:
Inactive
Industry:
Business Services at Non-Commercial Site, Medical Doctor's Office
Registration:
Jan 25, 2005
Addresses:
16167 Southampton, Livonia, MI 48154 (Physical)
Michigan (Mailing)
16991 Farmington Rd, Livonia, MI 48154
State ID:
24057D
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2009
Principal, Medical Doctor, Owner:
Lisa A. Brawley Principal, Medical Doctor, Owner, inactive
Agent:
Lisa Anne Brawley

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