Lisa Michelle Funston FNP

NPI 1114191897 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1114191897
Gender Female
Enumeration Date 04/15/2008
Last Updated 04/15/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2425 BROOKSTONE CENTRE PKWY
COLUMBUS GA, 31904-4501, US
Phone (706) 322-1700
Fax (706) 320-0456
Business Location
2425 BROOKSTONE CENTRE PKWY
COLUMBUS GA, 31904-4501, US
Phone (706) 322-1700
Fax (706) 320-0456
Toxanomy
Taxonomy Code 363LF0000X
License State Georgia
License Number 113877
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According to our database, Mrs. Lisa Michelle Funston FNP NPI is 1114191897, taxonomy code is 363LF0000X and license number is 113877, license state is located at Georgia. Lisa Michelle Funston FNP physically located at 2425 Brookstone Centre Pkwy, Columbus GA, 31904-4501. NPI Number Lisa Michelle Funston FNP has the Individual type.

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1114191897 NPI number is provided on an as is basis without warranty of any kind. 1114191897 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Michelle Funston FNP are for informational purposes only.