LISA RENEE HENDERSON

LEWISTON, ID
NPI1912419243
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  57109)
Enumeration Date2017-10-26
Last Update Date2019-11-14
Business Address
Mrs. LISA RENEE HENDERSON AGNP-C
415 SIXTH ST. CARDIOLOGY DEPARTMENT
LEWISTON, ID 83501-4255
Phone number: 208-750-7507
Mailing Address
Mrs. LISA RENEE HENDERSON AGNP-C
415 6TH ST
LEWISTON, ID 83501-2431
Phone number: 208-750-7445
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