Individual
LISA MCCREATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 BLACK COAL, FT. WASHAKIE, WY 82514
(307) 335-5972
Mailing address
3402 STARDUST DR, SAINT JOSEPH, MO 64503-1399
(816) 284-2132
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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