Individual
LISA ANN PALAZZOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7990 E US HIGHWAY 36, AVON, IN 46123-7790
(317) 272-0242
(317) 272-7219
Mailing address
7990 E US HIGHWAY 36, AVON, IN 46123-7790
(317) 272-0242
(317) 272-7219
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71001712
IN
363LF0000X
Family Nurse Practitioner
Primary
71001712A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200509850
—
IN
Enumeration date
10/02/2006
Last updated
07/28/2011
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