NPI 1013031905

Lisa Michelle Tyra Soranno, DO

Practitioner Anesthesiology Physician Dearborn, MI

Practice location

Address: 18181 Oakwood Blvd, Dearborn, MI 48124-5032
Phone: (313) 982-5159
Fax: (313) 982-5115
Mailing address: 23635 Sterling Pl, Dearborn, MI 48124-1632

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 5101015275 (MI)

Other Anesthesiology providers in Michigan →

Registry record

NPI: 1013031905
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.