Individual
DR. LISA STAR MCCUTCHEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 W MAIN ST, 116A, MARION, IL 62959-1188
(618) 993-4161
Mailing address
2401 W MAIN ST, 116A, MARION, IL 62959-1188
(618) 993-4161
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00033129
WA
Other
Enumeration date
06/24/2006
Last updated
07/08/2007
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