Individual
MRS. LUCIA OBERGOENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
112 MAVERICK CT, GRANBURY, TX 76049-1381
(888) 731-8994
Mailing address
2825 OLD TOLL RD, JACKSON, MO 63755-3023
(573) 979-3892
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1172658
TX
363LW0102X
Women's Health Nurse Practitioner
2010002440
FL
363LW0102X
Women's Health Nurse Practitioner
2010002440
MO
Other
Enumeration date
06/03/2010
Last updated
03/11/2025
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