MRS. Lisa Michelle Courtney, PROVIDER

NPI #1194917203 in Cody, Wyoming

Provider Information

NPI Number
1194917203
Entity Type
Individual
Name
MRS. Lisa Michelle Courtney, PROVIDER
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child
Credential
PROVIDER
Enumeration Date
Aug 13, 2007
Last Updated
Aug 13, 2007

Practice Location

Address
2508 CENTRAL AVE
City
Cody
State
Wyoming
ZIP Code
82414-9797
Phone
(307) 527-4616

Specialties & Taxonomy Codes

Specialty
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, ChildRespite Care, Intellectual and/or Developmental Disabilities, Child

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