Individual
LISA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
715 CHICORY LN, AURORA, MO 65605-2085
(417) 229-1925
Mailing address
715 CHICORY LN, AURORA, MO 65605-2085
(417) 229-1925
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
MO
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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