Lisa Colette Ryan CRNP

NPI 1003891607 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1003891607
Gender Female
Enumeration Date 12/07/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
100 TOWNCENTER BLVD
SUITE 112
TUSCALOOSA AL, 35406-1833, US
Phone (205) 750-0030
Fax (205) 750-0855
Business Location
100 TOWNCENTER BLVD
SUITE 112
TUSCALOOSA AL, 35406-1833, US
Phone (205) 750-0030
Fax (205) 750-0855
Toxanomy
Taxonomy Code 363L00000X
License State Alabama
License Number 1065521
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According to our database, Lisa Colette Ryan CRNP NPI is 1003891607, taxonomy code is 363L00000X and license number is 1065521, license state is located at Alabama. Lisa Colette Ryan CRNP physically located at 100 Towncenter Blvd, Tuscaloosa AL, 35406-1833. NPI Number Lisa Colette Ryan CRNP has the Individual type.

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1003891607 NPI number is provided on an as is basis without warranty of any kind. 1003891607 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Colette Ryan CRNP are for informational purposes only.