Provider Demographics
NPI:1346906096
Name:HIGBEE, LISA ANN (CRYOTHEROPIST)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:ANN
Last Name:HIGBEE
Suffix:
Gender:F
Credentials:CRYOTHEROPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30051 HWY F
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:MO
Mailing Address - Zip Code:65536-5581
Mailing Address - Country:US
Mailing Address - Phone:417-664-8280
Mailing Address - Fax:
Practice Address - Street 1:712 S MONROE ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:MO
Practice Address - Zip Code:65536-3570
Practice Address - Country:US
Practice Address - Phone:417-664-8280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-16
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO