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1790490522
LISA ANN FISHBACK
FRANKFORT, IL
NPI
1790490522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209026609)
Enumeration Date
2023-01-17
Last Update Date
2023-01-17
Business Address
LISA ANN FISHBACK FNP-BC
7626 W HICKORY CREEK DR
FRANKFORT, IL 60423-9095
Phone number: 815-212-4225
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Mailing Address
LISA ANN FISHBACK FNP-BC
7626 W HICKORY CREEK DR
FRANKFORT, IL 60423-9095
Phone number: 815-212-4225
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