MRS. Lisa M Hicks, CPNP

NPI #1497021414 in Dothan, Alabama

Provider Information

NPI Number
1497021414
Entity Type
Individual
Name
MRS. Lisa M Hicks, CPNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Pediatrics
Credential
CPNP
Enumeration Date
Mar 23, 2012
Last Updated
Jul 6, 2017

Practice Location

Address
126 CLINIC DR
City
Dothan
State
Alabama
ZIP Code
36303-1980
Phone
(334) 793-1881

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - PediatricsPediatrics

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