LISA M HICKS

DOTHAN, AL
NPI1497021414
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: AL  1-109237)
Enumeration Date2012-03-23
Last Update Date2017-07-06
Business Address
Mrs. LISA M HICKS CPNP
126 CLINIC DR
DOTHAN, AL 36303-1980
Phone number: 334-793-1881
Mailing Address
Mrs. LISA M HICKS CPNP
126 CLINIC DR
DOTHAN, AL 36303-1980
Phone number: 334-793-1881