LISA SCHLAGETER STADALIUS

KENNESAW, GA
NPI1104019801
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: GA  RN187814 NP)
Enumeration Date2007-08-26
Last Update Date2007-08-26
Business Address
Ms. LISA SCHLAGETER STADALIUS APRN
1000 CHASTAIN RD NW 52
KENNESAW, GA 30144-5588
Phone number: 770-423-6642
Mailing Address
Ms. LISA SCHLAGETER STADALIUS APRN
2603 CANOPY LN
MARIETTA, GA 30066-1542
Phone number: 770-591-9389