Doctor Name: | DR. LISA J MCINTOSH |
NPI Number: | 1205827573 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 4301052024 |
Business Practice Address: | 5716 Michigan Ave Detroit, MI - 482103039 |
Business Phone Number: | 2484570085 |
Business Fax Number: | 2484570086 |
Mailing Address: | 559 W Grand Blvd, DETROIT |
State: | MI |
Postal Code: | 482162200 |
Phone Number: | 3132280214 |
Fax Number: | 3132280283 |
NPI Enumeration Date: | 11/04/2005 |
NPI Last Update Date: | 01/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 4301052024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |