Lisa Gaye Adamson

Individual provider Active NPI Personal Care Attendant · Poplar Bluff, MO

NPI 1265075600 · NPPES record last updated Dec 9, 2019

Key facts

NPI
1265075600
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
36 County Road 331
Poplar Bluff, MO 63901-5478
Phone
(573) 429-5774
NPI assigned
Oct 17, 2019
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

36 County Road 331
Poplar Bluff, MO 63901-5478

Mailing address

36 County Road 331
Poplar Bluff, MO 63901-5478
Phone (573) 429-5774

Other providers in Poplar Bluff, MO

All providers in Poplar Bluff, MO · Personal Care Attendant in Missouri

Sources for this page

Verify at the official NPI Registry.