Individual
MS. LISA MARIE BRUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5000
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2024004467
MO
363LG0600X
Gerontology Nurse Practitioner
2024004467
MO
Other
Enumeration date
01/24/2024
Last updated
02/20/2024
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