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1528056660
LISA M PLOCK
COLUMBUS, GA
NPI
1528056660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN075180)
Enumeration Date
2005-10-12
Last Update Date
2014-07-07
Business Address
Mrs. LISA M PLOCK NP
2000 10TH AVE SUITE 200
COLUMBUS, GA 31901-3700
Phone number: 706-321-3745
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Mailing Address
Mrs. LISA M PLOCK NP
PO BOX 1038
COLUMBUS, GA 31902-1038
Phone number: 706-660-6148
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