Individual
DR. LISA DENISE ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
106 COMMERCE DRIVE, AURORA, MO 65605-6260
(417) 269-2400
(417) 269-2410
Mailing address
3800 S. NATIONAL AVE, STE. 540, SPRINGFIELD, MO 65807-5284
(417) 269-2400
(417) 269-2410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2008017231
MO
Other
Enumeration date
11/19/2007
Last updated
11/20/2012
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