| Doctor Name: | LISA LYNN MAHER |
| NPI Number: | 1003054305 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | A114046 |
| Business Practice Address: | 419 East Donald Street Waterloo, IA - 507031223 |
| Business Phone Number: | 3192361911 |
| Business Fax Number: | 3192875832 |
| Mailing Address: | Po Box 2758, 4150 Kimball Ave WATERLOO |
| State: | IA |
| Postal Code: | 507042758 |
| Phone Number: | 3192355390 |
| Fax Number: | 3192355607 |
| NPI Enumeration Date: | 01/26/2009 |
| NPI Last Update Date: | 10/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A114046 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |