Provider Demographics
NPI:1831331982
Name:MICHEL, LISA MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:LISA
Middle Name:MARIE
Last Name:MICHEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2206 JO AN DR STE 1
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-4080
Mailing Address - Country:US
Mailing Address - Phone:941-927-2161
Mailing Address - Fax:941-927-2130
Practice Address - Street 1:2206 JO AN DR STE 1
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-4080
Practice Address - Country:US
Practice Address - Phone:941-927-2161
Practice Address - Fax:941-927-2130
Is Sole Proprietor?:No
Enumeration Date:2009-04-02
Last Update Date:2019-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3434111N00000X
GACHIRO008438111N00000X
FLCH10135111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor