Individual
MS. LISA LYNETTE NOLDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5471 DR. MARTIN LUTHER KING DR., ST. LOUIS, MO 63112-4265
(314) 367-5820
(314) 367-7010
Mailing address
5471 DR. MARTIN LUTHER KING DR, ST. LOUIS, MO 63112-4265
(314) 367-5820
(314) 367-7010
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2007033619
MO
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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