Lisa Marie Andrews
Mastectomy Fitter in Raleigh, NC. Individual provider (NPI-1).
NPI number1053989657
StatusActive
Last updated in NPPESSep 12, 2023
Details
- NPI
- 1053989657
- Entity type
- Individual (NPI-1)
- Name
- Lisa Marie Andrews
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 11, 2021
- Certification date
- Sep 12, 2023
- Last updated
- Sep 12, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224900000X | Mastectomy Fitter | – | – | Yes |
| 225000000X | Orthotic Fitter | – | NC |
Practice location
4101 Macon Pond Rd1290-Prosthesis Fitting Room
Raleigh, NC 27607
Phone 919-307-0160
Mailing address
527 Keisler DrCary, NC 27518-9306
Phone 919-747-9336 · Fax 984-200-7575
Other practice locations
527 Keisler Dr
Cary, NC 27518-9306
Cary, NC 27518-9306
Phone 919-747-9336 · Fax 984-200-7575
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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