Lisha Kirklin

Individual provider Active NPI Case Manager/Care Coordinator · Gramercy, LA

NPI 1033633359 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1033633359
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
225 S. Elm St.
Gramercy, LA 70052
Phone
(225) 313-2284
NPI assigned
Jul 28, 2017
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
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

225 S. Elm St.
Gramercy, LA 70052

Mailing address

225 S Elm St
Gramercy, LA 70052-3120
Phone (225) 313-2284

Other providers in Gramercy, LA

All providers in Gramercy, LA · Case Manager/Care Coordinator in Louisiana

Sources for this page

Verify at the official NPI Registry.