person
Lisa Puckett
Driver in Festus, Missouri
NPI 1629620695

Lisa Puckett is a Driver based in Festus, MO. Lisa Puckett practices in Festus, MO. The NPI Number for Lisa Puckett is 1629620695 and holds a License No. (Missouri).

The current practice location address for Lisa Puckett is 227 Main St, Festus, MO and can be reached out via phone at 636-931-2700 and via fax at 636-931-5304. You can also correspond with Lisa Puckett through the mailing address at 227 MAIN ST, FESTUS, MO - 63028-1952 (mailing address contact number: ).

Location: 227 Main St, Festus, MO, 63028-1952
person
Provider Profile Details
NPI Number
1629620695
Provider Name
Lisa Puckett
Credential
Provider Entity Type
Individual
Gender
Female
Address
227 Main St, Festus, MO, 63028-1952
Phone Number
636-931-2700
Fax Number
636-931-5304
Provider Enumeration Date
07/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
227 Main St
City
State
Zip
63028-1952
Phone Number
636-931-2700
Fax Number
636-931-5304
person
Provider Business Mailing Address Details
Address
227 Main St
City
State
Zip
63028-1952
Phone Number
636-931-2700
Fax Number
636-931-5304
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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