Individual
LISA DAWN DISANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, BC
Contact information
Practice address
2700 STEWART PARKWAY, ANNEX B, ROSEBURG, OR 97471
(541) 440-3532
(541) 440-3554
Mailing address
1600 NW GARDEN VALLEY BLVD, SUITE 110, ROSEBURG, OR 97471
(541) 440-3532
(541) 440-3554
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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