MEDICARE: LISA FERRO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1972157170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA FERRO

Provider Business Mailing Address
First Line	:	2930 BLUE GROUSE DR
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-7061
Country	:	US
Telephone Number	:	775-250-4711
Fax Number	:

Provider Business Practice Location Address
First Line	:	2930 BLUE GROUSE DR
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-7061
Country	:	US
Telephone Number	:	775-250-4711
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2019
Last Update Date	:	07/26/2019

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Directions to “ LISA FERRO ” Practice Location

Language	Start Address	Practice Location

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