Meredith, Lisa Marie

Meredith, Lisa Marie is an individual health care provider with primary practice located at 50 Northgate Industrial Dr , Granite City IL 62040-6805. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Meredith, Lisa Marie can be contacted via phone (618) 877-4420.

Contact Information

Primary practice address
50 Northgate Industrial Dr Granite City IL 62040-6805
Phone: (618) 877-4420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209.032511 Illinois

Profile Details

NPI number 1730075359
LBN Legal business name Meredith, Lisa Marie
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2025
Last updated Jun 18th, 2025 - about last year

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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