Individual
MRS. LISA G ELLES-BORRSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN,BC
Contact information
Practice address
10012 KENNERLY RD, SUITE 204, SAINT LOUIS, MO 63128-2197
(314) 525-1222
(314) 842-9952
Mailing address
2766 OBERHELMAN RD, FORISTELL, MO 63348-2017
(314) 703-7152
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
092981
MO
Other
Enumeration date
08/14/2006
Last updated
05/13/2014
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