Lisa Marie Drost, ND
Individual provider Active NPI Naturopath · Wheaton, IL
NPI 1912424110 · NPPES record last updated Aug 28, 2017
Key facts
- NPI
- 1912424110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 099.0000153 (VT)
- Practice address
- 315 W Forest Ave
Wheaton, IL 60187-3557 - Phone
- (630) 920-3485
- NPI assigned
- Aug 28, 2017
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164.006932 | IL | MD | Nutritionist |
| 099.0000153 | VT | MD | Naturopath |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 164.006932 | IL | |
| Naturopath | 175F00000X | 099.0000153 | VT | Yes |
Addresses
Primary practice location
315 W Forest Ave
Wheaton, IL 60187-3557
Mailing address
315 W Forest Ave
Wheaton, IL 60187-3557
Phone (630) 920-3485
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2017. 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.