Individual
MRS. LISA MARIE BUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 218-5415
Mailing address
539 LERING CT, BALLWIN, MO 63011-1528
(314) 623-4787
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041427388
IL
163W00000X
Registered Nurse
2010005708
MO
363LF0000X
Family Nurse Practitioner
Primary
2016005841
MO
Other
Enumeration date
05/12/2016
Last updated
06/19/2024
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