Individual provider · NPI-1
Lisa Buck Hescock, LMT
Technician, Other · Eugene, OR
NPI number1265859441
StatusActive
Last updated in NPPESMar 25, 2014
Details
- NPI
- 1265859441
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lisa Buck Hescock
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 25, 2014
- Last updated
- Mar 25, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | 8143 | OR | Yes |
Practice location
31044 Lanes Turn RdEugene, OR 97408-9413
Phone 541-729-6721
Mailing address
31044 Lanes Turn RdEugene, OR 97408-9413
Phone 541-729-6721
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