MRS. Lakisha Jeanette Burton Willis, MBA, M.D. is a student in an organized health care education training program in Detroit, MI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MRS. Lakisha Jeanette Burton Willis, MBA, M.D. NPI is 1902288962. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
540 E CANFIELD ST
DETROIT, MI
ZIP 48201-928
Phone: (313) 577-1102
The NPI 1902288962 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/25/2015 and was last updated on 2/23/2016.