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

LISA DIETZ, DO

Active

LISA DIETZ, DO is a Family Medicine healthcare provider located in CLARKSTON, Michigan. NPI 1629067541 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CLARKSTON, MI

Registration Details

NPI Number
1629067541
Provider Type
Individual
Gender
Female
NPI Issued
Oct 14, 2005 (20.687301601173 yrs)
Last Updated
Feb 19, 2013
License
LD011820 (MI)

Practice Information

Address
6507 TOWN CENTER DR
SUITE A
CLARKSTON, MI, 483464826
Browse MI providers · Browse ZIP 48346
Phone
2489229975
Fax
2489229143
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in CLARKSTON, MI

Name Credential NPI
DR. TIMOTHY R ONEILL DO 1033117890
DR. RICARDO Q. CABRERA M.D. 1801875943
DR. JEETENDER SINGH MATHARU M.D. 1255310397
DR. JOSEPH P LAJOIE D.O. 1932179835
DR. LORI A. LAJOIE D.O. 1689624058
DR. LARRY J BAYLIS D.O. 1902847510
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.