Lisa Chelan Deleon, L.M.P.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA22212 Issued in WA

Practice address

1826 1St Ave
Longview, WA 98632

Phone

(360) 703-3254

NPI assigned

Jan 24, 2007

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 Cheyenne Calvin Former 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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1487709143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LAKE CREEK RD",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985329123",
            "telephone_number": "360-245-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 1ST AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "98632",
            "telephone_number": "360-703-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEON",
        "first_name": "LISA",
        "middle_name": "CHELAN",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA22212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "CALVIN",
            "middle_name": "CHEYENNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dallas Delagrange, CDP
• Catherine Genevieve Delaney
• Celia Delaney, MA
• Carla Victoria Delcambre, ARNP
• Brandi Renee Deleon, CNA
• Amber S Delong
• Tori May Demyer, PHARMD
• Kathleen E Derby-Ray, MS, LMHCA
• Derenda Richardson
• Sara Derenge, ARNP

• Massage Therapist in Longview, WA
• Providers in Longview, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.