person
Mrs. Lisa M Plock, NP
Family Nurse Practitioner in Columbus, Georgia
NPI 1528056660

Lisa M Plock is a Family Nurse Practitioner based in Columbus, GA and is specialized in Family. Lisa M Plock practices in Columbus, GA and has the professional credentials of NP. The NPI Number for Lisa M Plock is 1528056660 and holds a License No. RN075180 (Georgia).

The current practice location address for Lisa M Plock is 2000 10Th Ave, Columbus, GA and can be reached out via phone at 706-321-3745 and via fax at 706-321-3749.

Location: 2000 10Th Ave, Columbus, GA, 31902-1038
person
Provider Profile Details
NPI Number
1528056660
Provider Name
Lisa M Plock
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2000 10Th Ave, Columbus, GA, 31902-1038
Phone Number
706-321-3745
Fax Number
706-321-3749
Provider Enumeration Date
10/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000806649E 05 GA
581719867066 01 TRICARE
institution
Provider Business Practice Location Address Details
Address
2000 10Th Ave
City
State
Zip
31901-3700
Phone Number
706-321-3745
Fax Number
706-321-3749
person
Provider Business Mailing Address Details
Address
2000 10Th Ave
City
State
Zip
31901-3700
Phone Number
706-321-3745
Fax Number
706-321-3749
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN075180 (Georgia)
Definition
Definition to come...
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