Individual provider · Type 1 NPI

Liza-Ann Suba

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

NPI number 1457078206 Active

Practice location

44405 Woodward Ave
Pontiac, MI 48341-5023

Other practice locations

  • 1111 W 17th St, Tulsa, OK 74107-1886 · (918) 582-1972

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1457078206

Liza-Ann Suba's National Provider Identifier is 1457078206, issued on Oct 24, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pontiac, MI. The record was last updated on Apr 15, 2024.