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1730075359
LISA MARIE MEREDITH
GRANITE CITY, IL
NPI
1730075359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL 209.032511)
Enumeration Date
2025-06-18
Last Update Date
2025-06-18
Business Address
LISA MARIE MEREDITH APN
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 62040-6805
Phone number: 618-877-4420
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Mailing Address
LISA MARIE MEREDITH APN
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL 61701-1429
Phone number: 888-924-3748
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