Individual
MRS. LISA KRISTEN SCHLOEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
409 W OAK ST, CARBONDALE, IL 62901-1414
(618) 529-4455
(618) 351-1287
Mailing address
PO BOX 1105, INDIANAPOLIS, IN 46206-1105
(618) 457-5200
(618) 351-4821
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004451
IL
Other
Enumeration date
09/17/2012
Last updated
02/19/2013
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