Individual
DR. LISA OLIVIA JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4504 DIAMOND RUBY, SUITE 3, CHRISTIANSTED, VI 00820
(340) 719-0681
Mailing address
4504 DIAMOND RUBY, SUITE 3, CHRISTIANSTED, VI 00820
(340) 719-0681
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1937
VI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/21/2009
Last updated
03/29/2013
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