Individual
LISA LOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4274 CAHABA HEIGHTS CT STE 130, VESTAVIA, AL 35243-5724
(059) 778-4842
(205) 977-2173
Mailing address
4274 CAHABA HEIGHTS CT STE 130, VESTAVIA, AL 35243-5724
(205) 977-8484
(205) 977-2173
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9250043
FL
363LF0000X
Family Nurse Practitioner
APRN9250043
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290775
—
AL
Enumeration date
12/12/2017
Last updated
10/14/2022
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