LISA RAE GERGEN

EDGEWOOD, KY
NPI1497748263
Former NameLISA R. SIRONEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: KY  3003813)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: OH  RN-232372)
363LF0000X Nurse Practitioner, Family
(Licence: KY  1067394)
Enumeration Date2005-08-26
Last Update Date2016-02-03
Business Address
Ms. LISA RAE GERGEN APRN
560 S LOOP RD
EDGEWOOD, KY 41017-3405
Phone number: 859-301-2663
Mailing Address
Ms. LISA RAE GERGEN APRN
560 S LOOP RD
EDGEWOOD, KY 41017-3405
Phone number: 859-301-2663