Healthcare Provider Details

I. General information

NPI: 1487240271
Provider Name (Legal Business Name): LISA MICHELLE STRINGER OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2020
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

528 N 15TH AVE STE A
LAUREL MS
39440-3842
US

IV. Provider business mailing address

1585 HIGHWAY 15 S
LAUREL MS
39443-0838
US

V. Phone/Fax

Practice location:
  • Phone: 601-554-7400
  • Fax:
Mailing address:
  • Phone: 228-216-0002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: