Lisa R Stanley NP

NPI 1033155726 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1033155726
Gender Female
Enumeration Date 06/21/2006
Last Updated 06/17/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
FORT WAYNE IN, 46818-9701, US
Phone (260) 432-1568
Fax (260) 432-4969
Business Location
PO BOX 80070
FORT WAYNE IN, 46898-0070, US
Phone (260) 432-1568
Fax (260) 432-4969
Taxonomy Code 363LF0000X
License State Indiana
License Number 71001366
Remove 1033155726 NPI Number

According to our database, Lisa R Stanley NP NPI is 1033155726, taxonomy code is 363LF0000X and license number is 71001366, license state is located at Indiana. Lisa R Stanley NP physically located at 5001 Us Highway 30 W Ste D, Fort Wayne IN, 46818-9701. NPI Number Lisa R Stanley NP has the Individual type.

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1033155726 NPI number is provided on an as is basis without warranty of any kind. 1033155726 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa R Stanley NP are for informational purposes only.