Most Relevant Information
Provider Data
| NPI Number: | 1003455742 |
| Provider Name: | LISA KRISTINE MIZEUR FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 95013410 |
Most Important Dates
| Enumeration Date: | 12/28/2019 |
| Last Updated: | 10/03/2022 |
Provider Practice Location
2600 NE NEFF RD
BEND
OR
977016337
Practice Location Phone/Fax
| Phone: | 5417064800 |
| Fax: | 5417064806 |
Provider Mailing Location
5100 GOLDEN HILL DR
WEED
CA
960949644
Provider Mailing Phone/Fax
| Phone: | 5303565342 |
| Fax: |
Suggested EMR
Family Practice EMR