LISA ELLEN FAIST

ROANOKE, VA
NPI1659340453
Other NameLISA ELLEN FAIST-STANTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NY  332601)
Enumeration Date2006-03-15
Last Update Date2011-02-10
Business Address
-- LISA ELLEN FAIST NP
3 RIVERSIDE CIRCLE
ROANOKE, VA 24016
Phone number: 540-224-5170
Mailing Address
-- LISA ELLEN FAIST NP
3 RIVERSIDE CIRCLE
ROANOKE, VA 24016
Phone number: 540-224-5170
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