Individual
LISA MERAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3722 HARLEM AVE, RIVERSIDE, IL 60546-2312
(708) 447-4999
Mailing address
3722 HARLEM AVE STE 200, RIVERSIDE, IL 60546-2334
(708) 447-4999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
041391696
IL
Other
Enumeration date
12/11/2019
Last updated
08/12/2022
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