Lisa Bachant, R.N.

Individual provider Active NPI Registered Nurse · Montgomery, AL

NPI 1497025787 · NPPES record last updated Jan 4, 2012

Key facts

NPI
1497025787
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
1-063444 (AL)
Practice address
602 S Lawrence St
Montgomery, AL 36104-4787
Phone
(334) 293-7435
Fax
(334) 293-7374
NPI assigned
Jan 4, 2012
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-063444ALMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-063444 AL Yes

Addresses

Primary practice location

602 S Lawrence St
Montgomery, AL 36104-4787

Mailing address

602 S Lawrence St
Montgomery, AL 36104-4787
Phone (334) 293-7435

Other providers in Montgomery, AL

All providers in Montgomery, AL · Registered Nurse in Alabama

Sources for this page

Verify at the official NPI Registry.