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1003891607
LISA COLETTE RYAN
NORTHPORT, AL
NPI
1003891607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1065521)
Enumeration Date
2005-12-07
Last Update Date
2022-02-28
Business Address
LISA COLETTE RYAN CRNP
4280 WATERMELON RD STE 112
NORTHPORT, AL 35473-5250
Phone number: 205-750-0030
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Mailing Address
LISA COLETTE RYAN CRNP
4280 WATERMELON RD STE 112
NORTHPORT, AL 35473-5250
Phone number: 205-750-0030
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