Lisa Tillman Edison
Clinic/Center, Rehabilitation in New Orleans, LA. Individual provider (NPI-1).
NPI number1902394745
StatusActive
Last updated in NPPESApr 27, 2018
Details
- NPI
- 1902394745
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lisa Tillman Edison
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 26, 2018
- Last updated
- Apr 27, 2018
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 |
|---|---|---|---|---|
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | Yes |
Practice location
2331 Canal StNew Orleans, LA 70119-6503
Phone 304-307-3737
Mailing address
Po Box 3017Harvey, LA 70059-3017
Phone 504-451-7337
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