Lisa Puckett

NPI #1629620695 in Festus, Missouri

Provider Information

NPI Number: 1629620695
Entity Type: Individual
Name: Lisa Puckett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Jul 10, 2019
Last Updated: Jul 10, 2019

Practice Location

Address: 227 MAIN ST
City: Festus
State: Missouri
ZIP Code: 63028-1952
Phone: (636) 931-2700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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