Individual
LISA H GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 MONROE ST SW, HUNTSVILLE, AL 35801-5029
(888) 220-6432
Mailing address
901 MCCLINTOCK DR STE 202, BURR RIDGE, IL 60527-0872
(630) 655-6748
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
1-135546
AL
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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