Lisa Calcamuggio, LISA CALCAMUGGIO

Primary specialty

SpecialistTaxonomy code 174400000X

License

39833700 Issued in MI

Practice address

2570 Sterns Rd
Lambertville, MI 48144-9414

Phone

(419) 343-6816

NPI assigned

Oct 18, 2012

Last updated

Oct 18, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Lisa Calcamuggio Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1194078808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 STERNS ROAD",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "48144",
            "telephone_number": "419-343-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 STERNS RD",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481449414",
            "telephone_number": "419-343-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALCAMUGGIO",
        "first_name": "LISA",
        "credential": "LISA CALCAMUGGIO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "39833700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "CALCAMUGGIO",
            "credential": "LISA CALCAMUGGIO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rosemary Bryant
• Taylor Burger, NP
• Hannah Dawn Busdiecker
• Pamela Mae Bush, LLPC
• Thomasene Byers, C.R.N.A.
• Thomas Joseph Calloway, RPH
• Eric Alan Carter, RPH
• Keith Richard Cherry, MSW
• Travis Childress
• Kelly Nicole Chisholm, CNP

• Specialist in Lambertville, MI
• Providers in Lambertville, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.