Individual provider · Type 1 NPI

Lisa Mae Mackaluso, APRN, FNP-C

Family Nurse Practitioner · Port Huron, MI

NPI number 1740852771 Active

Practice location

2601 Electric Ave
Port Huron, MI 48060-6587

Call (810) 216-1500 Map

Other practice locations

  • 1221 Pine Grove Ave, Port Huron, MI 48060-3511 · (810) 987-5000

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704252035 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1740852771

Lisa Mae Mackaluso, APRN, FNP-C's National Provider Identifier is 1740852771, issued on Jul 9, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Port Huron, MI. The record was last updated on Jan 17, 2023.