| NPI | 1215002498 |
|---|---|
| Doing Business As | LISA B. COOPER, CFNP |
| Entity Type | Organization |
| Authorized Contact | LISA B COOPER President 662-251-4055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R826442) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |