Individual
DR. LISA REQUENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
525 BRANSON LANDING BLVD, BRANSON, MO 65616-2052
(417) 348-8646
(417) 335-7529
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-7241
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2018014210
MO
Other
Enumeration date
02/13/2013
Last updated
05/13/2019
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