Individual
MRS. LISA GAYE DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
69 AVENUE B, BOONE COUNTY OF EDUCATIONS, MADISON, WV 25130
(304) 369-3131
Mailing address
5 BABE LANE, HOLLY HILLS, MADISON, WI 25130
(304) 369-6525
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
39176
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810003838
—
WV
Enumeration date
11/27/2006
Last updated
07/08/2007
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