Individual
DR. LISA M GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGCNS
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-2245
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN59667
ME
364S00000X
Clinical Nurse Specialist
Primary
0024189280
VA
Other
Enumeration date
10/27/2023
Last updated
04/11/2025
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