Lisa M Theodorovich
Medical Specialty
Professional ID
- NPI: 1821406455
- PECOS ID: 7517185317
- Enrollment ID: I20140819002711
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2014
Medical Practices
- Organization Name: Mid Michigan Ear Nose And Throat Pc
- Group Practice ID assigned by PECOS: 1052363801
- Number of Group Practice member: 15
Location
- Address1: 1500 Abbott Rd
- Address2: Suite 400
- City: East Lansing
- State: Michigan
- Zip Code: 48823
- Phone Number: (517)332-0285
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):