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1851924435
LISA GOODMAN
INDIANAPOLIS, IN
NPI
1851924435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71009829A)
Enumeration Date
2020-02-21
Last Update Date
2023-04-20
Business Address
LISA GOODMAN
8111 S EMERSON AVE FL 5
INDIANAPOLIS, IN 46237-8601
Phone number: 317-528-8930
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Mailing Address
LISA GOODMAN
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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