Individual
MRS. LISA ANN MALONE
Active
Individual
MRS. LISA ANN MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, CWON
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
R037495
SD
163WX1500X
Ostomy Care Registered Nurse
R037495
SD
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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