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Individual

MS. LISA HEAP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
360 E 10TH AVE STE 308, EUGENE, OR 97401-3687
(833) 646-3633
Mailing address
360 E 10TH AVE STE 308, EUGENE, OR 97401-3687
(833) 646-3633

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 0000179246
TN
363LF0000X
Family Nurse Practitioner
Primary
APN0000022132
TN

Other

Enumeration date
03/17/2017
Last updated
03/12/2026
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