Individual
LISA MARIE OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 S 2ND ST, CENTRAL CITY, KY 42330-1505
(270) 931-5113
(270) 754-4633
Mailing address
3999 FORT CAMPBELL BLVD, HOPKINSVILLE, KY 42240-4929
(270) 886-2205
(270) 886-0392
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
01/08/2018
Last updated
12/30/2020
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