Individual
LISA DUKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1061 HARMON AVE, WINN ARMY COMMUNITY HOSPITAL, FORT STEWART, GA 31314-5641
(912) 435-6721
Mailing address
1061 HARMON AVE, WINN ARMY COMMUNITY HOSPITAL, FORT STEWART, GA 31314-5641
(912) 435-6721
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
P0957978
VA
163WE0003X
Emergency Registered Nurse
0001214745
VA
163WE0003X
Emergency Registered Nurse
Primary
RN242616
GA
Other
Enumeration date
08/22/2014
Last updated
09/16/2014
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