Individual
LISA RENEE CORDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8500
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000156899
TN
Other
Enumeration date
05/14/2010
Last updated
12/19/2012
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