Individual
MRS. LISA NICOLE HASLAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
401 N KEENE ST, COLUMBIA, MO 65201-6625
(573) 876-1644
(573) 876-1678
Mailing address
834 MURPHY FORD RD, CENTERTOWN, MO 65023-3504
(573) 301-0876
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018002178
MO
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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