Lisa Lynn Dodge

Individual provider Active NPI Personal Care Attendant · Chapmanville, WV

NPI 1003577461 · NPPES record last updated Jan 6, 2022

Key facts

NPI
1003577461
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
32 Madison St.
Chapmanville, WV 25508
Phone
(757) 334-1445
NPI assigned
Jan 6, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

32 Madison St.
Chapmanville, WV 25508

Mailing address

32 Madison St.
Chapmanville, WV 25508
Phone (757) 334-1445

Other providers in Chapmanville, WV

All providers in Chapmanville, WV · Personal Care Attendant in West Virginia

Sources for this page

Verify at the official NPI Registry.