LISA MALLARD

LEXINGTON, KY
NPI1891847869
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: KY  3009349)
Additional Taxonomies367A00000X Advanced Practice Midwife
(Licence: FL  ARNP 2157582)
Enumeration Date2007-01-18
Last Update Date2022-12-14
Business Address
LISA MALLARD ARNP, CNM
170 N EAGLE CREEK DR STE 104
LEXINGTON, KY 40509-9087
Phone number: 859-967-5848
Mailing Address
LISA MALLARD ARNP, CNM
PO BOX 936
LONDON, ZZ
Phone number: 606-330-7835