Lisa Marie Buckman
Individual provider Active NPI Peer Specialist · Lebanon, KY
NPI 1013629443 · NPPES record last updated Dec 16, 2022
Key facts
- NPI
- 1013629443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 305 Koehler Dr
Lebanon, KY 40033-9388 - Phone
- (270) 402-8259
- NPI assigned
- Dec 16, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | KY | Yes |
Addresses
Primary practice location
305 Koehler Dr
Lebanon, KY 40033-9388
Mailing address
305 Koehler Dr
Lebanon, KY 40033-9388
Phone (270) 402-8259
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Lisa.buckman@sperohealth.com |
Other providers in Lebanon, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.