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Individual

MS. LISA MARIE FUTRELL

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
710 CENTER ST, COLUMBUS, GA 31901-1527
(706) 571-1200
Mailing address
14050 NW 14TH ST, SUNRISE, FL 33323-2865
(800) 424-6372
(954) 377-3042

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN106397
GA

Other

Enumeration date
06/04/2006
Last updated
07/08/2007
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