Lisa Adams
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Madison HTS, MI
NPI 1104799949 · NPPES record last updated Sep 26, 2025
Key facts
- NPI
- 1104799949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- 4704370828 (MI)
- Practice address
- 29662 Sherry Ave
Madison HTS, MI 48071-4430 - Phone
- (203) 751-2815
- NPI assigned
- Sep 26, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704370828 | MI | MD | Student in an Organized Health Care Education/Training Program |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4704370828 | MI | Yes |
Addresses
Primary practice location
29662 Sherry Ave
Madison HTS, MI 48071-4430
Mailing address
29662 Sherry Ave
Madison HTS, MI 48071-4430
Other providers in Madison HTS, MI
- Toya D Aaron
- Aging Resources, LLC
- Nancy Agrusa
- Amanda Claire Alfery
- Barry Bell
- Binary Home Care,Inc.
All providers in Madison HTS, MI · Student in an Organized Health Care Education/Training Program in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.