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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. LISA RUTH MCLEAN, PA-C

Active

MRS. LISA RUTH MCLEAN, PA-C is a Medical Physician Assistant healthcare provider located in ALLEN PARK, Michigan. NPI 1114476140 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · ALLEN PARK, MI

Registration Details

NPI Number
1114476140
Provider Type
Individual
Gender
Female
NPI Issued
Oct 3, 2016 (9.8882477649998 yrs)
Last Updated
Apr 29, 2021
Licenses
5601008938 (MI)
PA53731 (CA)
5601008938 (MI)

Practice Information

Address
17500 FEDERAL DR STE 750
ALLEN PARK, MI, 481013656
Browse MI providers · Browse ZIP 48101
Phone
3139821370
Fax
3139821376
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in ALLEN PARK, MI

Name Credential NPI
BRITTANY AUNE PA-C 1184199986
JACQUELINE VASQUEZ PA-C 1982293361
JOEL CHARLES SNOVER PA-C 1528721867
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.