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1114191897
LISA MICHELLE FUNSTON
COLUMBUS, GA
NPI
1114191897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA 113877)
Enumeration Date
2008-04-15
Last Update Date
2020-06-10
Business Address
Mrs. LISA MICHELLE FUNSTON FNP
2425 BROOKSTONE CENTRE PKWY
COLUMBUS, GA 31904-4501
Phone number: 706-322-1700
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Mailing Address
Mrs. LISA MICHELLE FUNSTON FNP
10175 LITTLE PATUXENT PKWY
COLUMBIA, MD 21044-2655
Phone number: 706-681-8927
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