Individual
MRS. LISA G CHAPPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2000175592
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149799
B;LUE CROSS BLUE SHIELD
MO
01
—
466786
HEALTHLINK
MO
Enumeration date
06/25/2006
Last updated
08/19/2025
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