Lisa Wood, LPN
Licensed Practical Nurse in Broken Arrow, OK. Individual provider (NPI-1).
NPI number1982121448
StatusActive
Last updated in NPPESAug 25, 2017
Details
- NPI
- 1982121448
- Entity type
- Individual (NPI-1)
- Name
- Lisa Wood
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 25, 2017
- Last updated
- Aug 25, 2017
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 |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 58766 | OK | Yes |
Practice location
1907 S Nyssa PlBroken Arrow, OK 74012-9094
Phone 918-688-6803 · Fax 918-688-6803
Mailing address
1907 S Nyssa PlBroken Arrow, OK 74012-9094
Phone 918-688-6803
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.
Other Licensed Practical Nurse providers in Broken Arrow, OK
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