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Individual
MRS. LISA MARIE STEWART
Active
Individual
MRS. LISA MARIE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
77063
KS
363LA2200X
Adult Health Nurse Practitioner
77063
KS
363LG0600X
Gerontology Nurse Practitioner
77063
KS
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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