Individual
LISA COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 562-2600
Mailing address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 562-2600
(660) 562-7994
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2016025177
MO
208M00000X
Hospitalist Physician
Primary
2016025177
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200050420
—
MO
Enumeration date
06/18/2015
Last updated
10/09/2024
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