Most Relevant Information
Provider Data
| NPI Number: | 1003054305 |
| Provider Name: | LISA LYNN MAHER ARNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | A114046 |
Most Important Dates
| Enumeration Date: | 01/26/2009 |
| Last Updated: | 03/15/2022 |
Provider Practice Location
419 EAST DONALD STREET
WATERLOO
IA
507031223
Practice Location Phone/Fax
| Phone: | 3192361911 |
| Fax: | 3192875832 |
Provider Mailing Location
PO BOX 2758
4150 KIMBALL AVE
WATERLOO
IA
507042758
Provider Mailing Phone/Fax
| Phone: | 3192355390 |
| Fax: | 3192355607 |