DR. Lisa Requena, D.O.

NPI #1164761946 in Branson, Missouri

Provider Information

NPI Number
1164761946
Entity Type
Individual
Name
DR. Lisa Requena, D.O.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
D.O.
Enumeration Date
Feb 13, 2013
Last Updated
May 13, 2019

Practice Location

Address
525 BRANSON LANDING BLVD
ZIP Code
65616-2052
Phone
(417) 348-8646

Specialties & Taxonomy Codes

Specialty
Family Medicine

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