Individual
MRS. LISA KAY YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W FLORENCE ST, WINDSOR, MO 65360-1127
(660) 647-9921
(660) 890-8241
Mailing address
200 W FLORENCE ST, WINDSOR, MO 65360-1127
(660) 647-9921
(660) 890-8241
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
044342
MO
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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