Individual
DR. LISA MICHELLE MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1201 N RUTHERFORD ST, MACON, MO 63552-2020
(660) 385-8900
Mailing address
29024 JUNCTION PL, MACON, MO 63552-3622
(660) 385-1077
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2009017010
MO
Other
Enumeration date
04/08/2011
Last updated
12/14/2012
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