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1982799508
LISA M. FANTROY
OLYMPIA FIELDS, IL
NPI
1982799508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085001107)
Enumeration Date
2006-10-03
Last Update Date
2021-03-18
Business Address
LISA M. FANTROY PA-C
4001 VOLLMER RD.
OLYMPIA FIELDS, IL 60461
Phone number: 708-481-8883
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Mailing Address
LISA M. FANTROY PA-C
1040 SIERRA DR STE 400
GREENWOOD, IN 46143-7241
Phone number: 317-528-4800
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