Individual provider · Type 1 NPI

Lissette Orozco Bersoza, MD

Student in an Organized Health Care Education/Training Program · Southfield, MI

NPI number 1215670666 Active

Practice location

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Call (248) 849-3000 Map

Fax (248) 849-3000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000X4351050068 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1215670666

Lissette Orozco Bersoza, MD's National Provider Identifier is 1215670666, issued on Apr 14, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Southfield, MI. The record was last updated on Jun 27, 2025.