Bruns, Lisa Marie

Bruns, Lisa Marie is an individual health care provider with primary practice located at 1125 Madison St , Jefferson City MO 65101-5227. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Bruns, Lisa Marie can be contacted via phone (573) 632-5000.

Contact Information

Primary practice address
1125 Madison St Jefferson City MO 65101-5227
Phone: (573) 632-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2024004467 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2024004467 Missouri

Profile Details

NPI number 1720840945
LBN Legal business name Bruns, Lisa Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2024
Last updated Feb 20th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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