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1033103296
LISA M IVY
LITTLE ROCK, AR
NPI
1033103296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: AR A01826)
Enumeration Date
2005-09-02
Last Update Date
2010-02-16
Business Address
-- LISA M IVY ANP
7 SHACKLEFORD WEST BLVD
LITTLE ROCK, AR 72211-3714
Phone number: 501-664-5860
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Mailing Address
-- LISA M IVY ANP
7 SHACKLEFORD WEST BLVD
LITTLE ROCK, AR 72211-3714
Phone number: 501-664-5860
Copy
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