LISA STADUM

PRESCOTT, AZ
NPI1063577161
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  AP2577)
Enumeration Date2006-12-27
Last Update Date2011-08-17
Business Address
-- LISA STADUM NP
2100 CENTERPOINTE WEST DR
PRESCOTT, AZ 86301-8487
Phone number: 928-717-0788
Mailing Address
-- LISA STADUM NP
2100 CENTERPOINTE WEST DR
PRESCOTT, AZ 86301-8487
Phone number: 928-717-0788
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