LISA REQUENA

BRANSON, MO
NPI1164761946
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  2018014210)
Enumeration Date2013-02-13
Last Update Date2019-05-13
Business Address
Dr. LISA REQUENA D.O.
525 BRANSON LANDING BLVD
BRANSON, MO 65616-2052
Phone number: 417-348-8646
Mailing Address
Dr. LISA REQUENA D.O.
PO BOX 4046
SPRINGFIELD, MO 65808-4046
Phone number: 417-269-7241
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