MRS. Lisa Kristine Sutter

NPI #1780708784 in Palmyra, Missouri

Provider Information

NPI Number: 1780708784
Entity Type: Individual
Name: MRS. Lisa Kristine Sutter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 17, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5051 HIGHWAY C
City: Palmyra
State: Missouri
ZIP Code: 63461-2902
Phone: (573) 769-2640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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