Individual
MRS. LISA B HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
583 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5515
(812) 333-9331
(812) 349-9201
Mailing address
583 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5515
(812) 333-9331
(812) 349-9201
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001972A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200368440
—
IN
Enumeration date
07/19/2006
Last updated
12/15/2020
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