Individual
LISA C PUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
401 E CHESTNUT ST, SUITE 710, LOUISVILLE, KY 40202-5700
(502) 583-8303
(502) 584-0302
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0329
(502) 588-0326
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3108P
KY
363LF0000X
Family Nurse Practitioner
Primary
3003108
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200931060
—
IN
01
—
3687822000
PASSPORT ADVANTAGE
KY
01
—
50021988
PASSPORT
KY
Enumeration date
11/16/2005
Last updated
02/16/2016
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