| Doctor Name: | MS. LISA KAY CHASE |
| NPI Number: | 1023377827 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | A-117831 |
| Business Practice Address: | 126 N. 10th Street Fort Dodge, IA - 505013915 |
| Business Phone Number: | 5155766500 |
| Business Fax Number: | 5155761951 |
| Mailing Address: | 126 N. 10th Street, FORT DODGE |
| State: | IA |
| Postal Code: | 505013915 |
| Phone Number: | 5155766500 |
| Fax Number: | 5155761951 |
| NPI Enumeration Date: | 05/14/2012 |
| NPI Last Update Date: | 10/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A-117831 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |