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

Kailee Marie Lis

Individual provider Technician/Technologist · NPI 1770252710

Kailee Marie Lis is a Technician/Technologist in Dearborn, Michigan. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

19853 Outer Dr Ste 110
Dearborn, MI 48124-2044
Phone: (313) 406-5056
Fax: (248) 712-4381
Show map & directions

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

Specialties & licences

Technician/Technologist (primary) Taxonomy 156F00000X

Record details

NPI number1770252710
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 13, 2021
Last updated in NPPESSeptember 13, 2021
Certification dateSeptember 13, 2021

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