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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA MARIE LICCIARDI

Active Sole Proprietor

LISA MARIE LICCIARDI is a Nurse's Aide healthcare provider located in PENROSE, North Carolina. NPI 1043506132 is currently active in the NPPES registry. Verify at CMS.

Nurse's Aide · PENROSE, NC

Registration Details

NPI Number
1043506132
Provider Type
Individual
Gender
Female
NPI Issued
Jun 27, 2011 (15.128451151267 yrs)
Last Updated
Jun 27, 2011
Sole Proprietor
Yes

Practice Information

Address
82 HILLSIDE RD
PENROSE, NC, 287668783
Browse NC providers · Browse ZIP 28766
Phone
8288774076
Primary Specialty
Nurse's Aide
376K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.