1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Surgery
  6. NPI Profile

LISA M FLYNN MD
NPI 1629070271
Surgery - Vascular Surgery in Detroit, MI

Active since August 12, 2005
4160 JOHN R, SUITE 615, DETROIT, MI 48201(313) 745-4195(313) 993-8669 Get Directions Write a Review

NPPES record last updated: December 27, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa M Flynn Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA M FLYNN MD (NPI 1629070271) is an individual vascular surgery provider in Detroit, Michigan, licensed in Michigan (4301061622) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1629070271
Entity TypeIndividualFemale
Primary Taxonomy2086S0129X
Provider Legal NameLISA M FLYNNCredential: MD
Location Address4160 JOHN R, SUITE 615Detroit, MI 48201-2020
Mailing Address1420 Stephenson Hwy, Suite 400-credentialingTroy, MI 48083-1189 · (248) 581-5974 · Fax (248) 581-5640
Phone(313) 745-4195
Fax(313) 993-8669
Sole ProprietorNo
Enumeration DateAugust 12, 2005
Last NPPES UpdateDecember 27, 2013
✔ NPI 1629070271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in MI · 4301061622
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License 4301061622 (MI)
4160 JOHN R, Detroit, MI 48201
Open in Google Maps ↗

Other Identifiers 3

Medicare UPING91044
Medicare ID-Type UnspecifiedOH 26358-021
Medicare PIN0P30630776MI

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VHS PHYSICIANS OF MICHIGAN
Internal Medicine (Cardiovascular Disease)
4160 JOHN R, STE 708
DETROIT, MI 48201
Wayne County (313) 832-6034
DR. ALFRED EUGENE BAYLOR III MD
Surgery
4160 JOHN R, SUITE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
DR. DAOUD K ABU-HAMDAN MD
Internal Medicine (Nephrology)
4160 JOHN R, HARPER PROFESSIONAL BLDG STE 917
DETROIT, MI 48201
Wayne County (313) 745-4525
JAMES JOSEPH GLAZIER MD
Internal Medicine (Cardiovascular Disease)
4160 JOHN R, #525
DETROIT, MI 48201
Wayne County (313) 831-1100
XIAOPING HUANG MD PHD
Internal Medicine (Nephrology)
4160 JOHN R, SUITE 729
DETROIT, MI 48201
Wayne County (313) 879-4231
ILYES BENCHAALA MD
Internal Medicine (Rheumatology)
4160 JOHN R, SUITE 917
DETROIT, MI 48201
Wayne County (313) 745-4525
SHIVKUMAR PRABHU, M.D., P.C.
Internal Medicine (Gastroenterology)
4160 JOHN R, SUITE 702
DETROIT, MI 48201
Wayne County (313) 832-6125
MS. SANA ALI KHAN
Student in an Organized Health Care Education/Training Program
4160 JOHN R, SUITE 615
DETROIT, MI 48201
Wayne County (313) 745-4195

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Flynn's NPI number?

The NPI number for Lisa Flynn is 1629070271. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Lisa Flynn located?

Lisa Flynn practices at 4160 John R Suite 615, Detroit, MI 48201. The listed phone number is (313) 745-4195.

What is Lisa Flynn's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Lisa Flynn was last updated on December 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.