Individual
MRS. LISA MARIE MANTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, BC
Contact information
Practice address
226 S WOODS MILL RD, STE 37W, CHESTERFIELD, MO 63017-3662
(314) 523-5320
(314) 434-3191
Mailing address
PO BOX 14369, SAINT LOUIS, MO 63178-4369
(314) 523-5300
(314) 434-3191
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2003018722
MO
Other
Enumeration date
10/16/2007
Last updated
03/17/2025
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