Lisa N. Greer

Individual provider Active NPI Attendant Care Provider · Ofallon, MO

NPI 1770124802 · NPPES record last updated May 12, 2020

Key facts

NPI
1770124802
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
6911 Brassel Dr.
Ofallon, MO 63368
Phone
(314) 852-7052
NPI assigned
Sep 30, 2019
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)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X Yes

Addresses

Primary practice location

6911 Brassel Dr.
Ofallon, MO 63368

Mailing address

6911 Brassel Dr.
Ofallon, MO 63368
Phone (314) 852-7052

Other providers in Ofallon, MO

All providers in Ofallon, MO · Attendant Care Provider in Missouri

Sources for this page

Verify at the official NPI Registry.