Individual provider · Type 1 NPI

Lisa Lynn McCloy

Primary Care Nurse Practitioner · West Bloomfield, MI

NPI number 1962850131 Active

Practice location

6777 W Maple Rd
West Bloomfield, MI 48322-3013

Mailing address

1 Ford Pl Ste 3A
Detroit, MI 48202-3450

Other practice locations

  • 4600 Investment Dr, Suite 200, Troy, MI 48098-6365 · (248) 267-5050

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X4704270007 (MI)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1962850131

Lisa Lynn McCloy's National Provider Identifier is 1962850131, issued on May 29, 2016. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in West Bloomfield, MI. The record was last updated on Jul 24, 2023.