Individual provider · Type 1 NPI

Lisa Puckett

Driver · Festus, MO

NPI number 1629620695 Active

About NPI 1629620695

Lisa Puckett's National Provider Identifier is 1629620695, issued on Jul 10, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Festus, MO. The record was last updated on Jul 10, 2019.