LISA MONTGOMERY

RUSSIAVILLE, IN
NPI1639253347
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10000327)
Enumeration Date2006-10-25
Last Update Date2021-03-24
Business Address
LISA MONTGOMERY PA
3309 S 750 W
RUSSIAVILLE, IN 46979-9146
Phone number: 765-883-2273
Mailing Address
LISA MONTGOMERY PA
3309 S 750 W
RUSSIAVILLE, IN 46979-9146
Phone number: 765-883-2273
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