Lisa King FNP

NPI 1043288806 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1043288806
Gender Female
Enumeration Date 03/09/2006
Last Updated 08/03/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
304 W WASHINGTON AVE
RICHLAND MO, 65556-7101, US
Phone (573) 765-5141
Fax (573) 765-3824
Business Location
304 W WASHINGTON AVE
RICHLAND MO, 65556-7101, US
Phone (573) 765-5141
Fax (573) 765-3824
Toxanomy
Taxonomy Code 363LF0000X
License State Missouri
License Number 076386
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According to our database, Lisa King FNP NPI is 1043288806, taxonomy code is 363LF0000X and license number is 076386, license state is located at Missouri. Lisa King FNP physically located at 304 W Washington Ave, Richland MO, 65556-7101. NPI Number Lisa King FNP has the Individual type.

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1043288806 NPI number is provided on an as is basis without warranty of any kind. 1043288806 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa King FNP are for informational purposes only.