Lisa M Coulter, REEGT,RPSGT

NPI #1295890226 in Benton, Arkansas

Provider Information

NPI Number: 1295890226
Entity Type: Individual
Name: Lisa M Coulter, REEGT,RPSGT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Credential: REEGT,RPSGT
Enumeration Date: Dec 27, 2006
Last Updated: Aug 13, 2007

Practice Location

Address: 2101 CONGO
Address 2: SUITE 900
City: Benton
State: Arkansas
ZIP Code: 72015-2750
Phone: (501) 315-8818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary
Technician, Other - EEG — EEG	2472E0500X

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