Fuller, Lisa

Fuller, Lisa is an individual health care provider with primary practice located at 1600 E Broadway , Columbia MO 65201-5844. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Nursing Service Providers / Registered Nurse, Nursing Service Providers / Neuroscience. Nursing Service Providers / Registered Nurse is her primary health care specialty. Fuller, Lisa can be contacted via phone (573) 815-8000.

Contact Information

Primary practice address
1600 E Broadway Columbia MO 65201-5844
Phone: (573) 815-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 2014006880 Missouri
Nursing Service Providers / Registered Nurse 163W00000X 2014006880 Missouri
Nursing Service Providers / Neuroscience 163WN0800X 2014006880 Missouri

Profile Details

NPI number 1760847461
LBN Legal business name Fuller, Lisa
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2015
Last updated Dec 23rd, 2015 - about 10 years 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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