Lisa Timmerman
Technician, Attendant Care Provider in Newport News, VA. Individual provider (NPI-1).
NPI number1174172167
StatusActive
Last updated in NPPESSep 11, 2019
Details
- NPI
- 1174172167
- Entity type
- Individual (NPI-1)
- Name
- Lisa Timmerman
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 11, 2019
- Last updated
- Sep 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
717 Lance DrNewport News, VA 23601-1622
Phone 757-344-8492
Mailing address
717 Lance DrNewport News, VA 23601-1622
Phone 757-599-6853
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