Individual
KARRIE MARIE LISBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
800 S FILLMORE ST, OSCEOLA, IA 50213-1694
(641) 342-5454
Mailing address
235 GRAY AVE, WAUKEE, IA 50263-9778
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A123040
IA
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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