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Lisa M. Boggs, FNP-C
Family Nurse Practitioner in Lebanon, Missouri
NPI 1124403944

Lisa M. Boggs is a Family Nurse Practitioner based in Saint Louis, MO and is specialized in Family. Lisa M. Boggs practices in Lebanon, MO and has the professional credentials of FNP-C. The NPI Number for Lisa M. Boggs is 1124403944 and holds a License No. 2015023431 (Missouri).

The current practice location address for Lisa M. Boggs is 120 Hospital Dr, Lebanon, MO and can be reached out via phone at 417-533-6746 and via fax at 417-533-6722.

Location: 120 Hospital Dr, Lebanon, MO, 63150-5164
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124403944
Provider Name
Lisa M. Boggs
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
120 Hospital Dr, Lebanon, MO, 63150-5164
Phone Number
417-533-6746
Fax Number
417-533-6722
Provider Enumeration Date
07/22/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1124403944 05 MO
institution
Provider Business Practice Location Address Details
Address
120 Hospital Dr
City
Lebanon
State
Missouri
Zip
65536-9238
Phone Number
417-533-6746
Fax Number
417-533-6722
person
Provider Business Mailing Address Details
Address
120 Hospital Dr
City
Lebanon
State
Missouri
Zip
65536-9238
Phone Number
417-533-6746
Fax Number
417-533-6722
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2015023431 (Missouri)
Definition
Definition to come...
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