Provider Demographics
NPI:1740496587
Name:DENEAU, LISA ELAINE (RN)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:ELAINE
Last Name:DENEAU
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:14133 BILLETTE DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-2721
Mailing Address - Country:US
Mailing Address - Phone:586-566-7221
Mailing Address - Fax:586-797-9174
Practice Address - Street 1:16200 19 MILE RD
Practice Address - Street 2:
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48038-1103
Practice Address - Country:US
Practice Address - Phone:586-566-7221
Practice Address - Fax:586-263-8731
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4704192092163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health