DR. Lisa Denise Roark, MD

NPI #1013198902 in Aurora, Missouri

Provider Information

NPI Number: 1013198902
Entity Type: Individual
Name: DR. Lisa Denise Roark, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Nov 19, 2007
Last Updated: Nov 20, 2012

Practice Location

Address: 106 COMMERCE DRIVE
City: Aurora
State: Missouri
ZIP Code: 65605-6260
Phone: (417) 269-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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