Lisa Ann Entwistle in Saint Ann - Pediatrics
Lisa Ann Entwistle - NPI 1215001938
Lisa Ann Entwistle is a Pediatrics in Saint Ann, Missouri. Lisa Ann Entwistle practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Lisa Ann Entwistle is 1215001938. The last update date is 2018-04-16.
Lisa Ann Entwistle's current location address is 11097 Saint Charles Rock Rd, Saint Ann, Missouri. You can contact this provider via phone number 3142138100 and fax number 3142138610. The mailing address for Lisa Ann Entwistle is 11097 Saint Charles Rock Rd, Saint Ann, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Ann Entwistle |
|---|---|
| Address | 11097 Saint Charles Rock Rd, Saint Ann, Missouri |
| Phone Number | 3142138100 |
| Fax Number | 3142138610 |
| Sole Proprietor | N |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1215001938 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2018-04-16 |
Provider Mailing Address Detail
| Address | 11097 Saint Charles Rock Rd |
|---|---|
| City | Saint Ann |
| State | Missouri (MO) |
| Post Code | 630741509 |
| Phone Number | 3142138100 |
| Fax Number | 3142138610 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | 5129 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 476134507 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lisa Ann Entwistle by the Centers for Medicare & Medicaid Services?
The Lisa Ann Entwistle has been issued the NPI (National Provider Identifier) 1215001938, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lisa Ann Entwistle?
The Lisa Ann Entwistle is situated at 11097 Saint Charles Rock Rd, in the city of Saint Ann, state of MO, with the zip code 630741509.
What is Lisa Ann Entwistle's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lisa Ann Entwistle's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 225Xp0200X.
On what date did Lisa Ann Entwistle receive its 1215001938 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Ann Entwistle was assigned its 1215001938 on 2006-11-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Lisa Ann Entwistle's information last updated?
The Lisa Ann Entwistle's information was last updated on 2018-04-16.