| Doctor Name: | LISA BUFFALOE FIELDS |
| NPI Number: | 1396889424 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, RN, CNS, |
| License Number: | 116174 |
| Business Practice Address: | 1618 Us 1 Hwy Youngsville, NC - 275969219 |
| Business Phone Number: | 9195629922 |
| Business Fax Number: | 9195629917 |
| Mailing Address: | 1618 Us 1 Hwy, YOUNGSVILLE |
| State: | NC |
| Postal Code: | 275969219 |
| Phone Number: | 9195629922 |
| Fax Number: | 9195629917 |
| NPI Enumeration Date: | 02/20/2007 |
| NPI Last Update Date: | 11/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0809X |
| License Number: | 116174 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |