Lisa Marie Fargo in Mount Horeb - Licensed Practical Nurse
Lisa Marie Fargo - NPI 1609845692
Lisa Marie Fargo is a Licensed Practical Nurse in Mount Horeb, Wisconsin. Lisa Marie Fargo practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Lisa Marie Fargo is 1609845692. The last update date is 2007-09-06.
Lisa Marie Fargo's current location address is 301 Justin Dr, Mount Horeb, Wisconsin. You can contact this provider via phone number 6084376254. The mailing address for Lisa Marie Fargo is 301 Justin Dr, Mount Horeb, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Marie Fargo |
|---|---|
| Address | 301 Justin Dr, Mount Horeb, Wisconsin |
| Phone Number | 6084376254 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1609845692 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2007-09-06 |
Provider Mailing Address Detail
| Address | 301 Justin Dr |
|---|---|
| City | Mount Horeb |
| State | Wisconsin (WI) |
| Post Code | 535723306 |
| Phone Number | 6084376254 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
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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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Post Comment/ Review Below
What is the Lisa Marie Fargo's unique identification number?
The Lisa Marie Fargo has been assigned the NPI (National Provider Identifier) Number 1609845692 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Lisa Marie Fargo's facilities are geographically located?
The facilities of Lisa Marie Fargo are physically situated at the following location: 301 Justin Dr, Mount Horeb, WI, 535723306.
What is the area of specialization for Lisa Marie Fargo, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lisa Marie Fargo is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this area of expertise is 164W00000X.
When did Lisa Marie Fargo receive its 1609845692 assignment?
The Lisa Marie Fargo was assigned its 1609845692 on 2006-03-14, which is the date when this unique identifier was issued to the organization.
When was the Lisa Marie Fargo's information last updated?
The Lisa Marie Fargo's information was last updated on 2007-09-06.
NPI Number: 1962405878
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