Individual
LISA DEADMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
601 N LEXINGTON ST, HARRISONVILLE, MO 64701-1461
(816) 680-8778
Mailing address
601 N LEXINGTON ST, HARRISONVILLE, MO 64701-1461
(816) 680-8778
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
2008028873
MO
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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