Individual
MRS. LISA ANN PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5030 MCREE AVE, SAINT LOUIS, MO 63110-2046
(314) 776-1300
Mailing address
738 BLAIRBETH DR, WELDON SPRING, MO 63304-7580
(314) 776-1300
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
000489
MO
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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