Individual
MS. LISA ANN SCHAFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3900 PETRO RD, STE 11, WEST MEMPHIS, AR 72301
(870) 732-0332
(870) 732-3078
Mailing address
3900 PETRO RD, STE 11, WEST MEMPHIS, AR 72301
(870) 732-0332
(870) 732-3078
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
AO1128
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y635
BLUE CROSS PTAN
AR
Enumeration date
02/13/2008
Last updated
02/13/2008
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