Individual
LISA SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1509 S BOSSE AVE, EVANSVILLE, IN 47712-4406
(812) 604-7648
Mailing address
1509 S BOSSE AVE, EVANSVILLE, IN 47712-4406
(812) 604-7648
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27064639A
IN
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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