Individual
LISA MARIE WILEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1011 E CHERRY ST, TROY, MO 63379-1503
(636) 224-1500
Mailing address
1601 OLD SOUTH RIVER RD, SAINT CHARLES, MO 63303-4120
(636) 224-1210
(636) 246-1008
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2009028348
MO
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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