LISA LICAVOLI, CRNA
Nursing in Royal Oak, MI

License number
Michigan 4704189302
Category
Nursing
Type
Nurse Anesthetist, Certified Registered
Address
Address
3601 Fsc - Pcs, Royal Oak, MI 48073
Phone
(248) 423-3144
National Provider ID: 1558339960
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Lisa Licavoli
1006 13Th Ave, Menominee, MI 49858
Lisa Licavoli
16166 Colorado Dr, Macomb, MI 48042
(586) 362-1104
Lisa Licavoli
17362 Birch Tree Ln, Macomb, MI 48044
Lisa Licavoli
Washington, MI
(586) 781-8890
Lisa Lynn Licavoli, age 60
PO Box 46595, Mount Clemens, MI 48046
(586) 792-6785

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