LISA RENAE DOUGLAS

FAYETTEVILLE, AR
NPI1639281959
Former NameLISA RENAE LUNDEEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy170300000X Genetic Counselor, MS
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
-- LISA RENAE DOUGLAS MHPP
12 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703-1822
Phone number: 479-750-2020
Mailing Address
-- LISA RENAE DOUGLAS MHPP
PO BOX 6430
SPRINGDALE, AR 72766-6430
Phone number: 479-750-2020
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