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Individual

LISA MARIE ALLSUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
4444 DEMETROPOLIS RD, MOBILE, AL 36619-9602
(251) 219-3900
Mailing address
1054 CHALET DR W, MOBILE, AL 36608-3613
(251) 510-2641

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-058302
AL

Other

Enumeration date
04/08/2021
Last updated
07/20/2024
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