Individual
MRS. LISA BUCK HESCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
31044 LANES TURN RD, EUGENE, OR 97408-9413
(541) 729-6721
Mailing address
31044 LANES TURN RD, EUGENE, OR 97408-9413
(541) 729-6721
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
8143
OR
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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