Individual
MRS. LISA L SPILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2605 KENUTCKY AVE, SUITE 3 BLDG 3, PADUCAH, KY 42003
(270) 443-7534
(270) 442-0309
Mailing address
2605 KENUTCKY AVE, SUITE 3 BLDG 3, PADUCAH, KY 42003-3804
(270) 443-7534
(270) 442-0309
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3002247
KY
363LF0000X
Family Nurse Practitioner
3002247
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78001369
—
KY
Enumeration date
05/26/2005
Last updated
12/03/2020
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