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Individual
MRS. LISA MARIE VAN GUILDER
Active
Individual
MRS. LISA MARIE VAN GUILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
CNP-01636
NM
363LF0000X
Family Nurse Practitioner
Primary
1181296
TX
363LF0000X
Family Nurse Practitioner
28145291A
IN
363LF0000X
Family Nurse Practitioner
71002855A
IN
363LF0000X
Family Nurse Practitioner
CNP-01636
NM
363LF0000X
Family Nurse Practitioner
CNP01636
NM
Other
Enumeration date
12/02/2008
Last updated
07/09/2025
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