Individual
MRS. LISA CAROLYN COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30940 FOUR CORNER RD, PALMYRA, IL 62674-4506
(217) 436-2198
(217) 436-2198
Mailing address
30940 FOUR CORNER RD, PALMYRA, IL 62674-4506
(217) 436-2198
(217) 436-2198
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/22/2008
Last updated
12/22/2008
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