Basic Information
| Provider Information | |||||||||
| NPI: | 1851322598 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STOKES | ||||||||
| FirstName: | LISA | ||||||||
| MiddleName: | K | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LPN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 110 BINNS LOOP | ||||||||
| Address2: | |||||||||
| City: | CROSSETT | ||||||||
| State: | AR | ||||||||
| PostalCode: | 71635 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8703642946 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1308 W 5TH ST | ||||||||
| Address2: | |||||||||
| City: | CROSSETT | ||||||||
| State: | AR | ||||||||
| PostalCode: | 71635 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8703646471 | ||||||||
| FaxNumber: | 8703649753 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/05/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 164W00000X | L43128 | AR | Y | Nursing Service Providers | Licensed Practical Nurse |
No ID Information.