person
Lisa Jo Suwanawongse, FNP-BC
Family Nurse Practitioner in Harrisburg, Illinois
NPI 1629546411

Lisa Jo Suwanawongse is a Family Nurse Practitioner based in Harrisburg, IL and is specialized in Family. Lisa Jo Suwanawongse practices in Harrisburg, IL and has the professional credentials of FNP-BC. The NPI Number for Lisa Jo Suwanawongse is 1629546411 and holds a License No. 209016422 (Illinois).

The current practice location address for Lisa Jo Suwanawongse is 100 Dr Warren Tuttle Dr, Harrisburg, IL and can be reached out via phone at 618-253-7671 and via fax at 618-253-0474.

Location: 100 Dr Warren Tuttle Dr, Harrisburg, IL, 62946-0428
person
Provider Profile Details
NPI Number
1629546411
Provider Name
Lisa Jo Suwanawongse
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
100 Dr Warren Tuttle Dr, Harrisburg, IL, 62946-0428
Phone Number
618-253-7671
Fax Number
618-253-0474
Provider Enumeration Date
11/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Dr Warren Tuttle Dr
City
State
Zip
62946-2718
Phone Number
618-253-7671
Fax Number
618-253-0474
person
Provider Business Mailing Address Details
Address
100 Dr Warren Tuttle Dr
City
State
Zip
62946-2718
Phone Number
618-253-7671
Fax Number
618-253-0474
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209016422 (Illinois)
Definition
Definition to come...
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