Lisa Dewitt, RN

NPI #1386198836 in Salem, Missouri

Provider Information

NPI Number: 1386198836
Entity Type: Individual
Name: Lisa Dewitt, RN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Credential: RN
Enumeration Date: Aug 12, 2016
Last Updated: Aug 12, 2016

Practice Location

Address: 203 N GRAND ST
City: Salem
State: Missouri
ZIP Code: 65560-1344
Phone: (573) 729-4103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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