Lisa Schlageter Stadalius APRN

NPI 1104019801 - Nurse Practitioner - 363LW0102X

NPI Details
NPI 1104019801
Gender Female
Enumeration Date 08/26/2007
Last Updated 08/26/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1000 CHASTAIN RD NW
52
KENNESAW GA, 30144-5588, US
Phone (770) 423-6642
Fax
Business Location
2603 CANOPY LN
MARIETTA GA, 30066-1542, US
Phone (770) 591-9389
Fax
Toxanomy
Taxonomy Code 363LW0102X
License State Georgia
License Number RN187814 NP
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According to our database, Ms. Lisa Schlageter Stadalius APRN NPI is 1104019801, taxonomy code is 363LW0102X and license number is RN187814 NP, license state is located at Georgia. Lisa Schlageter Stadalius APRN physically located at 1000 Chastain Rd Nw, Kennesaw GA, 30144-5588. NPI Number Lisa Schlageter Stadalius APRN has the Individual type.

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1104019801 NPI number is provided on an as is basis without warranty of any kind. 1104019801 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Schlageter Stadalius APRN are for informational purposes only.