Provider Demographics
NPI:1740293638
Name:MORRIS, LISA (MD)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 130469
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48113-0469
Mailing Address - Country:US
Mailing Address - Phone:734-548-0100
Mailing Address - Fax:833-764-5812
Practice Address - Street 1:2550 DEXTER RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-2702
Practice Address - Country:US
Practice Address - Phone:734-548-0010
Practice Address - Fax:833-764-5812
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2025-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301061549207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0M32480005Medicare PIN