Individual
DR. LISA RENEE NORDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3949 SHERMAN AVE, SAINT JOSEPH, MO 64506-3649
(816) 279-4882
Mailing address
3949 SHERMAN AVE, SAINT JOSEPH, MO 64506-3649
(816) 279-4882
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000172096
MO
Other
Enumeration date
11/20/2006
Last updated
10/23/2019
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