Individual
LISA MICHELE BRIDGES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RNC
Contact information
Practice address
415 BROADWAY ST, PADUCAH, KY 42001-0713
(270) 538-0772
(270) 538-0773
Mailing address
760 E LAKE RD, GRACEY, KY 42232-9702
(270) 235-9387
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
1051798
KY
Other
Enumeration date
06/30/2005
Last updated
07/08/2007
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