Lisa Thacker
Lisa Thacker is an Adult Companion in Port Huron, Michigan. Licensed in Michigan. Registered with an NPI since 2011.
- Licensed in
- MI
- In the registry since
- 2011
Practice location Address checks out
1001 Military StPort Huron, MI 48060-5416
Phone: (810) 985-5437
Fax: (800) 248-1568
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Companion (primary) | Taxonomy 372600000X (MI) |
|---|
Record details
| NPI number | 1912290834 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 25, 2011 |
| Last updated in NPPES | May 25, 2011 |
| Mailing address | 1953 Emerson Rd, Wales, MI 48027-2120 |
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1001 Military St, Port Huron, MI 48060-5416 · (810) 985-5437