Most Relevant Information
Provider Data
| NPI Number: | 1003483710 |
| Provider Name: | LISA RHUDY BS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/10/2021 |
| Last Updated: | 06/10/2021 |
Provider Practice Location
19750 BURT RD
DETROIT
MI
482192078
Practice Location Phone/Fax
| Phone: | 3135312500 |
| Fax: |
Provider Mailing Location
19750 BURT RD
DETROIT
MI
482192078
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |