| NPI | 1326361668 |
|---|---|
| Former Name | LISA D AGEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO220145) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 5180) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2025-11-13 |