Individual
MRS. LISA ANNE DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
851 E 5TH ST, WASHINGTON, MO 63090-3135
(636) 239-1101
Mailing address
1647 OAK PARC, UNION, MO 63084-3608
(636) 239-1101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN117227
MO
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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