LISA M. FORTIN M.D. – NPI #1770794992
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

LISA FORTIN is a radiologist located in PETOSKEY, MI. NPPES has assigned the NPI number 1770794992 to LISA FORTIN on May 28, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was last updated on May 14, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LISA FORTIN below.

NPI Profile for
LISA M. FORTIN

NPI Number
1770794992
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LISA M. FORTIN
Credentials
M.D.
Primary location
712 PLEASANT ST
PETOSKEY, MI 49770-2841
Phone: (231) 489-8060 Fax:
1 Other location(s):
2799 W Grand Blvd
Henry Ford Hospital
Detroit, MI 48202-2608
Phone: (313) 916-1384
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
May 14, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
MI 4301088394
2085B0100X
- Radiology / Body Imaging
MI 4301088394

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.