Individual
MRS. LISA ELIZABETH STOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 W LEOTA ST, NORTH PLATTE, NE 69101-6525
(308) 568-8000
Mailing address
65797 709 RD, FALLS CITY, NE 68355-2394
(402) 801-1810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
05/24/2018
Last updated
08/05/2021
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