Lisa A Arnett

Individual provider Active NPI Driver · West Lafayette, IN

NPI 1508094954 · NPPES record last updated Jun 24, 2009

Key facts

NPI
1508094954
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
License
8928273858 (IN)
Practice address
462 Woods Edge CT
West Lafayette, IN 47906-5738
Phone
(765) 532-6971
Fax
(425) 963-6362
NPI assigned
Jun 24, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
8928273858INMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
La Transportation Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 8928273858 IN Yes

Addresses

Primary practice location

462 Woods Edge CT
West Lafayette, IN 47906-5738

Mailing address

462 Woods Edge CT
West Lafayette, IN 47906-5738
Phone (765) 532-6971

Other identifiers

IdentifierTypeStateIssuer
343900000XOtherINMEDICAL TRANSPORTATION

Other providers in West Lafayette, IN

All providers in West Lafayette, IN · Driver in Indiana

Sources for this page

Verify at the official NPI Registry.