Lisa Marie Desjarlais
Individual provider Active NPI Personal Care Attendant · Rolla, ND
NPI 1699378679 · NPPES record last updated Nov 20, 2020
Key facts
- NPI
- 1699378679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 4598 Bia Road 4
Rolla, ND 58367-9567 - Phone
- (701) 278-0187
- NPI assigned
- Nov 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
4598 Bia Road 4
Rolla, ND 58367-9567
Mailing address
PO Box 1148
Rolla, ND 58367-1148
Other providers in Rolla, ND
- Jessica Davis
- Susan M. Davis
- McKenzie M Day
- Kodi Lynn Decoteau
- Alaina M Demers
- Chasity Dixon
- Rachelle Long Fischer
- John Mark Andrew Gingerich
- Tanya Jeanne Halone
- Haddi Hamley
All providers in Rolla, ND · Personal Care Attendant in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2020. 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.