Lisa M. Licciardi
Nurse's Aide in Penrose, NC(View on Map)
Full Name
Lisa Marie Licciardi
NPI Number
1043506132
NPI Type
Individual Provider
Gender
Female
Enumeration Date
06/27/2011
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
508 ELM BEND RD
82 HILLSIDE RD
City
Brevard
Penrose
State
NC
NC
Postal Code
28712-9577
28766-8783
Country
US
US
Telephone Number
N/A
(828) 877-4076
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/27/2011