Lisa G Elles-borrson APRN,BC

NPI 1710990783 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1710990783
Gender Female
Enumeration Date 08/14/2006
Last Updated 05/13/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
10012 KENNERLY RD
SUITE 204
SAINT LOUIS MO, 63128-2197, US
Phone (314) 525-1222
Fax (314) 842-9952
Business Location
2766 OBERHELMAN RD
FORISTELL MO, 63348-2017, US
Phone (314) 703-7152
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Missouri
License Number 092981
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According to our database, Mrs. Lisa G Elles-borrson APRN,BC NPI is 1710990783, taxonomy code is 363LA2200X and license number is 092981, license state is located at Missouri. Lisa G Elles-borrson APRN,BC physically located at 10012 Kennerly Rd, Saint Louis MO, 63128-2197. NPI Number Lisa G Elles-borrson APRN,BC has the Individual type.

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1710990783 NPI number is provided on an as is basis without warranty of any kind. 1710990783 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa G Elles-borrson APRN,BC are for informational purposes only.