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MS. LISA DILLON A.P.N.

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1477606028

Individual Registrant:
MS. LISA  DILLON A.P.N.
Gender: F
Sole Proprietor

Location and contact information for practice:
1127 MAIN ST  VILONIA, AR 72173-9525 US
Tel: 501-796-6740  Fax: 501-796-6744

Contact information for business:
117 S 2ND ST  AUGUSTA, AR 72006-2309 US
Tel: (87-0) -347-3314  Fax: --

Registration Information:
NPI: 1477606028
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
ARR30294
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
ARA001170

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
136660758AR05




HEALTH CARE JOBS AR - Page 1



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