Provider Demographics
NPI:1841237336
Name:MARKMAN, LISA RACHEL (MD)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:RACHEL
Last Name:MARKMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1955 PAULINE BLVD STE 80
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-5003
Mailing Address - Country:US
Mailing Address - Phone:734-255-1053
Mailing Address - Fax:734-252-0350
Practice Address - Street 1:1955 PAULINE BLVD STE 80
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-5003
Practice Address - Country:US
Practice Address - Phone:734-415-9376
Practice Address - Fax:734-252-0350
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2025-01-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301081537208M00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist