Individual
LISSA PAPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 INGRAM BLVD, WEST MEMPHIS, AR 72301-3423
(870) 735-2737
(870) 735-2738
Mailing address
205 INGRAM BLVD, WEST MEMPHIS, AR 72301-3423
(870) 735-2737
(870) 735-2738
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R880829
MS
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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