Individual
MS. LISA M HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
513 E BISMARCK EXPY, BISMARCK, ND 58504-6577
(701) 255-2773
Mailing address
320 S 14TH ST, BISMARCK, ND 58504-6049
(701) 250-0881
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
4266
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74117
—
ND
Enumeration date
10/15/2009
Last updated
10/15/2009
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