LISA WHITEHEAD M.D. NPI 1952502213

NPI Information

NPI: 1952502213
Provider Name: LISA WHITEHEAD, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
4200 WHITEHALL DR STE 230
ANN ARBOR, MI
ZIP 48105
Phone: (734) 769-3896
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Lisa Whitehead, M.D. is a pediatrics in Ann Arbor, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Lisa Whitehead, M.D. NPI is 1952502213. 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:

4200 WHITEHALL DR STE 230
ANN ARBOR, MI
ZIP 48105-694
Phone: (734) 769-3896
Fax: (734) 769-3746

The enumeration date for this NPI number is 5/31/2007 and was last updated on 6/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		4301115085	MICHIGAN	Yes
2	208000000X	Pediatrics		D0072297	MARYLAND	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	044096500	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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