Lisa Kay Faulkner

NPI #1114286580 in Evanston, Wyoming

Provider Information

NPI Number: 1114286580
Entity Type: Individual
Name: Lisa Kay Faulkner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: May 4, 2012
Last Updated: May 4, 2012

Practice Location

Address: 350 CITY VIEW DR
Address 2: SUITE 302
City: Evanston
State: Wyoming
ZIP Code: 82930-5327
Phone: (307) 789-7915

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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