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General NPI Number Information
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NPI Number | 1932699436
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Entity Type | Individual
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Provider Name | LISHA ANNETTE-KATHLEEN LANSBERRY APRN
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Gender | Female
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Dates
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Enumeration Date | 05/10/2018
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 743 SPRING ST NE
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City | GAINESVILLE
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State | GA
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Zip | 30501-3715
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Country | US
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Telephone | 770-535-3611
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Fax | 770-535-7092
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Provider Business Mailing Address
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Address Line | 420 HAMMET RD
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City | COVENTRY
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State | RI
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Zip | 02816-5061
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Country | US
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Telephone | 401-440-1761
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | APRN-NP134397
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | 022685
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | RN134397
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License Number State | GA
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