Lisa Gale Gresham

NPI 1144525692 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1144525692
Gender Female
Enumeration Date 01/13/2011
Last Updated 01/13/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
724 N SPRING ST
HARRISON AR, 72601-2913, US
Phone (866) 308-9925
Fax (870) 741-4784
Business Location
PO BOX 2578
BATESVILLE AR, 72503-2578, US
Phone (870) 793-8900
Fax (870) 793-8959
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Mrs. Lisa Gale Gresham NPI is 1144525692, taxonomy code is 171M00000X Lisa Gale Gresham physically located at 724 N Spring St, Harrison AR, 72601-2913. NPI Number Lisa Gale Gresham has the Individual type.

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1144525692 NPI number is provided on an as is basis without warranty of any kind. 1144525692 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Gale Gresham are for informational purposes only.