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1912995259
LISA FAYE CLUNIE
CORYDON, IN
NPI
1912995259
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Former Name
LISA F KELLUM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01058900A)
Enumeration Date
2005-10-11
Last Update Date
2022-07-18
Business Address
LISA FAYE CLUNIE MD
1995 EDSEL LN NW SUITE 3
CORYDON, IN 47112-3008
Phone number: 812-738-4915
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Mailing Address
LISA FAYE CLUNIE MD
PO BOX 38
CORYDON, IN 47112-0038
Phone number: 812-738-8763
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