| NPI | 1205807500 |
|---|---|
| Former Name | LISA WAGGONER MCCOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086H0002X Surgery, Hospice and Palliative Medicine (Licence: FL ME128980) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 30616) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2018-03-17 |