Lisa Jo Suwanawongse, FNP-BC
NPI #1629546411 in Harrisburg, Illinois
Provider Information
- NPI Number
- 1629546411
- Entity Type
- Individual
- Name
- Lisa Jo Suwanawongse, FNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-BC
- Enumeration Date
- Nov 9, 2018
- Last Updated
- Nov 9, 2018
Practice Location
- Address
- 100 DR WARREN TUTTLE DR
- City
- Harrisburg
- State
- Illinois
- ZIP Code
- 62946-2718
- Phone
- (618) 253-7671
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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