MRS. Lisa Marie Rose-Cantrell, FNP

NPI #1114053345 in Lithonia, Georgia

Provider Information

NPI Number
1114053345
Entity Type
Individual
Name
MRS. Lisa Marie Rose-Cantrell, FNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
FNP
Enumeration Date
Feb 23, 2007
Last Updated
Feb 9, 2022

Practice Location

Address
5440 HILLANDALE DRIVE
Address 2
KAISER PERMANENTE PANOLA MEDICAL CENTER
State
Georgia
ZIP Code
30058
Phone
(770) 322-3216

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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