NPI
Lisa Sonia Maclellan
NPI 1629637921
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- FNP-C
- Type
- Individual
- Enumeration date
- 2019-06-10
- Last updated
- 2019-08-27
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Specialties
Licenses
- License MI
- 4704242836
Location
- Practice location
- 3250 Woods Way Ste 5
- City
- Petoskey MI
- Postal code
- 49770-7628
- Phone
- (231) 881-9700
- Fax
- (231) 881-9698
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Nurse Practitioners in Petoskey, MI. 21 with this primary taxonomy in the public file.
Other NPIs in Petoskey, MI. 1,108 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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