Lisa Gahn

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

4 Issued in MI

Legal business name

LISA GAHN

Doing business as

Lisa Howard

Practice address

9570 John Werner Dr
Cheboygan, MI 49721-9411

Phone

(740) 491-2623

NPI assigned

Sep 16, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Mae GahnNPI 1386193522

Title

Cota

Phone

(740) 491-2623

Specialties & licenses 1

Addresses

Other names 1

• Lisa Howard Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Gahn, COTA/L

  • Occupational Therapist
  • Cheboygan, MI
  • NPI 1386193522
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710435938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9570 JOHN WERNER DR",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497219411",
            "telephone_number": "740-491-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9570 JOHN WERNER DR",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497219411",
            "telephone_number": "740-491-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA GAHN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GAHN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "COTA",
        "authorized_official_telephone_number": "740-491-2623"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lisa Howard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Cheboygan, MI
• Providers in Cheboygan, MI by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.