NPI 1063869527

Lisa Edgar

Practitioner Peer Specialist Port Huron, MI

Practice location

Address: 3111 Electric Ave, Port Huron, MI 48060-8127
Phone: (810) 985-8900

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1063869527
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 May 2016
Record last updated: 15 May 2016

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.