Provider Demographics
NPI:1215527981
Name:TORRES, LISA JEAN (RN)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:JEAN
Last Name:TORRES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1407 SWEDE AVE APT 8
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48642-6422
Mailing Address - Country:US
Mailing Address - Phone:989-615-1948
Mailing Address - Fax:
Practice Address - Street 1:1407 SWEDE AVE APT 8
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48642-6422
Practice Address - Country:US
Practice Address - Phone:989-615-1948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704245989163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse