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NPI Profile for LISA M CALLAHAN in GRANTS PASS, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner |
| NPI Number | 1649261132 |
|
| Status | Active | |
| Credentials | RN, MSN, CPNP-PC | |
| Entity | Individual | |
| Enumeration date | 11/02/2005 | |
| Last updated | 10/12/2016 - About 10 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LISA M CALLAHAN
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LISA M CALLAHAN, RN, MSN, CPNP-PC