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1124403944
LISA M. BOGGS
LEBANON, MO
NPI
1124403944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2015023431)
Enumeration Date
2015-07-22
Last Update Date
2015-11-10
Business Address
-- LISA M. BOGGS FNP-C
120 HOSPITAL DR SUITE 300
LEBANON, MO 65536-9238
Phone number: 417-533-6746
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Mailing Address
-- LISA M. BOGGS FNP-C
PO BOX 505164
SAINT LOUIS, MO 63150-5164
Phone number: 417-829-4620
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