Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lisa Marie Fortin, MD

Individual provider Body Imaging Physician · NPI 1770794992

Dr. Lisa Marie Fortin, MD is a Body Imaging Physician in Petoskey, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

712 Pleasant St
Petoskey, MI 49770-2841
Phone: (231) 489-8060
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2799 W Grand Blvd, Detroit, MI 48202-2608 — (313) 916-1384

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 4301088394 (MI)
Body Imaging Physician Taxonomy 2085B0100X · Licence 4301088394 (MI)

Record details

NPI number1770794992
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 28, 2007
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025