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1427831130
LISA MARIE MICKELSON
FISHERS, IN
NPI
1427831130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71014309A)
Enumeration Date
2023-08-16
Last Update Date
2024-01-29
Business Address
LISA MARIE MICKELSON RN, FNP
11700 OLIO RD
FISHERS, IN 46037-7618
Phone number: 317-436-4950
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Mailing Address
LISA MARIE MICKELSON RN, FNP
2620 ELM HILL PIKE
NASHVILLE, TN 37214-3108
Phone number:
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