LISA RENEE STALEY

COLDWATER, OH
NPI1649719816
Former NameLISA RENEE LEE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OH  APRN.CNP.020584)
Enumeration Date2017-02-21
Last Update Date2017-03-02
Business Address
-- LISA RENEE STALEY NP
800 W MAIN ST
COLDWATER, OH 45828-1613
Phone number: 260-344-4035
Mailing Address
-- LISA RENEE STALEY NP
6435 W JEFFERSON BLVD
FORT WAYNE, IN 46804-6203
Phone number: 260-344-4035
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