Individual
LISA BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 N EAST ST, GREEN CITY, MO 63545-1005
(660) 874-4128
Mailing address
206 E WALNUT ST STE B, SHELBINA, MO 63468-1324
(573) 588-4165
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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