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Individual

LISA MERRYMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1723 HIGHWAY BLVD, SUITE 2, SPENCER, IA 51301-2208
(712) 264-0402
Mailing address
4524 DEER SHADOW TRL, SIOUX CITY, IA 51106-9728
(712) 454-0001

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
001070
IA

Other

Enumeration date
09/15/2014
Last updated
11/21/2016
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