Individual
LISA R FOREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28168391A
IN
163WC1500X
Community Health Registered Nurse
28168391A
IN
163WG0000X
General Practice Registered Nurse
28168391A
IN
163WP2201X
Ambulatory Care Registered Nurse
28168391A
IN
163WS0200X
School Registered Nurse
28168391A
IN
251B00000X
Case Management Agency
—
—
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
Update your record
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