Lisa Marie Cox
Individual provider Active NPI Technician · Elizabethtown, KY
NPI 1265575005 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1265575005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Technician 374700000X
- Practice address
- 107 Cranes Roost CT
Elizabethtown, KY 42701-3650 - Phone
- (270) 765-2605
- Fax
- (270) 234-8572
- NPI assigned
- Feb 14, 2007
- 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 |
|---|---|---|---|---|
| Technician | 374700000X | Yes |
Addresses
Primary practice location
107 Cranes Roost CT
Elizabethtown, KY 42701-3650
Mailing address
107 Cranes Roost CT
Elizabethtown, KY 42701-3650
Phone (270) 765-2605
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30605018 | Medicaid | KY |
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.