Most Relevant Information
Provider Data
| NPI Number: | 1003288226 |
| Provider Name: | LISA MARIE WARGO DNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704243582 |
Most Important Dates
| Enumeration Date: | 10/27/2015 |
| Last Updated: | 10/27/2015 |
Provider Practice Location
27351 DEQUINDRE RD
MADISON HEIGHTS
MI
480713487
Practice Location Phone/Fax
| Phone: | 2489677000 |
| Fax: |
Provider Mailing Location
8655 LILLIAN DR
WASHINGTON TOWNSHIP
MI
480943840
Provider Mailing Phone/Fax
| Phone: | 5863377204 |
| Fax: |