Lisa Anne Goens in Fort Drum - Licensed Practical Nurse

Lisa Anne Goens - NPI 1952478471

Lisa Anne Goens is a Licensed Practical Nurse in Fort Drum, New York. Lisa Anne Goens practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Lisa Anne Goens is 1952478471. The last update date is 2007-07-08.

Lisa Anne Goens's current location address is 11050 Mount Belvedere Blvd, Fort Drum, New York. You can contact this provider via phone number 3157724025 and fax number 3157729498. The mailing address for Lisa Anne Goens is 11050 Mount Belvedere Blvd, Fort Drum, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Anne Goens
Address 11050 Mount Belvedere Blvd, Fort Drum, New York
Phone Number 3157724025
Fax Number 3157729498
Sole Proprietor N
Credentials LPN

NPI Number Detail

NPI Number 1952478471
Provider Enumeration Date 2006-11-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11050 Mount Belvedere Blvd
City Fort Drum
State New York (NY)
Post Code 136025438
Phone Number 3157724025
Fax Number 3157729498

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No 275521-1
Definition:
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r

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FAQs about Lisa Anne Goens

What is the unique 10-digit identification code issued to Lisa Anne Goens by the Centers for Medicare & Medicaid Services?

The Lisa Anne Goens has been assigned the NPI (National Provider Identifier) 1952478471 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Lisa Anne Goens's facilities are situated?

The facilities of Lisa Anne Goens are physically located at the following address: 11050 Mount Belvedere Blvd, Fort Drum, NY, 136025438.

What is Lisa Anne Goens's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Lisa Anne Goens's specialized field of practice is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this area of specialization is 164W00000X.

When was the Lisa Anne Goens's 1952478471 issued?

The Lisa Anne Goens's 1952478471 was issued on 2006-11-29.

As of what date were the details related to Lisa Anne Goens most recently updated or revised?

The information pertaining to Lisa Anne Goens, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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