Individual
MISS LISA GAYE DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2539
(314) 577-8000
Mailing address
2617 IOWA ST, GRANITE CITY, IL 62040-4806
(618) 876-7285
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
155148
MO
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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