LISA MARIE WADE

WEST PLAINS, MO
NPI1710379201
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2015005062)
Enumeration Date2015-02-20
Last Update Date2021-07-01
Business Address
LISA MARIE WADE
1307 PORTER WAGONER BLVD
WEST PLAINS, MO 65775-1828
Phone number: 417-255-8645
Mailing Address
LISA MARIE WADE
2811 GINGER DR
WEST PLAINS, MO 65775-1571
Phone number: 417-293-2210
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