Lisa Anne Brawley PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301057908 Issued in MI

Legal business name

LISA ANNE BRAWLEY PC

Practice address

16991 Farmington Rd
Livonia, MI 48154-2946

Phone

(734) 425-9551

Fax

(734) 425-9557

NPI assigned

Apr 2, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lisa Anne Brawley, M.D.

Title

Owner

Phone

(734) 425-9551

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Livonia Family Medicine Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1114199841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16991 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542946",
            "telephone_number": "734-425-9551",
            "fax_number": "734-425-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16991 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481542946",
            "telephone_number": "734-425-9551",
            "fax_number": "734-425-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA ANNE BRAWLEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "BRAWLEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-425-9551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301057908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "11-0-82-3654-2",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104737070",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Livonia Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel H Lipnik, DDS
• Lawrence Jacob Lipnik, MD
• Katelyn A Lipp, MA, LPC, LMFT, CAADC
• Robin Leigh Lipski, D.O.
• Lisa a Redilla OD PLLC
• Collin Liston
• Little Lanterns Therapy LLC
• Brionna Little
• Lisa Danielle Little, COTAL
• Mareina D Little

• Family Medicine Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.