Individual
LISA PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, MAS
Contact information
Practice address
508 FORESTWOOD DR, BIRMINGHAM, AL 35214-3106
(205) 851-0028
(205) 848-6059
Mailing address
1450 FORESTDALE BLVD # 311464, BIRMINGHAM, AL 35214-3024
(205) 851-0028
(205) 848-6059
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-066317
AL
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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