LISA PORTHOUSE

SAINT LOUIS, MO
NPI1750653697
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: MO  113826)
Enumeration Date2012-02-08
Last Update Date2013-06-24
Business Address
-- LISA PORTHOUSE CNM
621 S NEW BALLAS RD SUITE 2009 B
SAINT LOUIS, MO 63141-8232
Phone number: 314-251-6000
Mailing Address
-- LISA PORTHOUSE CNM
621 S NEW BALLAS RD SUITE 2009 B
SAINT LOUIS, MO 63141-8232
Phone number: 314-251-6000
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