Most Relevant Information
Provider Data
| NPI Number: | 1003322603 |
| Provider Name: | LISA ZETUNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 4704284774 |
Most Important Dates
| Enumeration Date: | 12/18/2017 |
| Last Updated: | 12/18/2017 |
Provider Practice Location
2799 W GRAND BLVD
DETROIT
MI
482022608
Practice Location Phone/Fax
| Phone: | 3139162600 |
| Fax: |
Provider Mailing Location
3909 WOODWARD AVE APT 504
DETROIT
MI
482012179
Provider Mailing Phone/Fax
| Phone: | 2485080826 |
| Fax: |