Individual
MRS. LISA JOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3250 GORDONVILLE RD, SUITE 250, CAPE GIRARDEAU, MO 63703-5056
(573) 331-3155
(573) 331-5096
Mailing address
3250 GORDONVILLE RD, SUITE 250, CAPE GIRARDEAU, MO 63703-5056
(573) 331-3155
(573) 331-5096
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1004330
MO
Other
Enumeration date
09/02/2006
Last updated
07/09/2007
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