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Individual
MRS. LISA KAY UMFLEET
Active
Individual
MRS. LISA KAY UMFLEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
21600062
MO
183500000X
Pharmacist
Primary
044520
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
606222008
—
MO
Enumeration date
09/25/2006
Last updated
12/16/2019
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